Williams, Marvin H.

Williams, Marvin H. is an sole proprietor health care provider with primary practice located at 1176 E Home Rd Suite O, Springfield OH 45503-2726. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Williams, Marvin H. can be contacted via phone (937) 398-0051.

Contact Information

Primary practice address
1176 E Home Rd Suite O Springfield OH 45503-2726
Fax: (937) 398-0054
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-051235 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35.051235 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 9700809 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9700809 North Carolina

Profile Details

NPI number 1841300159
LBN Legal business name Williams, Marvin H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Oct 27th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841300159 NPPES
Ohio Other 000000335653 ANTHEM
Ohio Other 000000544524 ANTHEM
Ohio MEDICAID 2477181 ANTHEM

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