Williams, Mark Thomas
Williams, Mark Thomas is an sole proprietor health care provider with primary practice located at 1219 Watervliet Ave , Dayton OH 45420-2705. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Williams, Mark Thomas can be contacted via phone (937) 256-2292.Contact Information
Primary practice address
1219 Watervliet Ave
Dayton OH 45420-2705
Phone: (937) 256-2292
Fax: (937) 256-9905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1530 | Ohio |
Profile Details
| NPI number | 1538291737 |
|---|---|
| LBN Legal business name | Williams, Mark Thomas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538291737 | NPPES |
| Ohio | Other | 000000000568 | ANTHEM COMMUNITY INS CO |
| Ohio | MEDICAID | 0875423 | ANTHEM COMMUNITY INS CO |
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