Williams, Matthew R
Williams, Matthew R is an individual health care provider with primary practice located at 1616 N Main St Ste 100A, Marion VA 24354-4473. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Williams, Matthew R can be contacted via phone (276) 783-9752.Contact Information
Primary practice address
1616 N Main St Ste 100A
Marion VA 24354-4473
Phone: (276) 783-9752
Fax: (276) 783-7786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2614 | Tennessee |
Profile Details
| NPI number | 1578966073 |
|---|---|
| LBN Legal business name | Williams, Matthew R |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2014 |
| Last updated | Mar 20th, 2017 - about 8 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 | 1578966073 | NPPES |
| Tennessee | MEDICAID | Q008775 |
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