Williams, Michael D

Williams, Michael D is an individual health care provider with primary practice located at 435 2Nd Street , Newport TN 37821-3703. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Williams, Michael D can be contacted via phone (865) 777-0909.

Contact Information

Primary practice address
435 2Nd Street Newport TN 37821-3703
Phone: (865) 777-0909
Fax: (865) 777-0910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704212626 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C01487 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R008864 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2002008561 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 13682 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0088764 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R54267 Tennessee

Profile Details

NPI number 1629015268
LBN Legal business name Williams, Michael D
Credentials MSN- CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jan 11th, 2011 - about 13 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 1629015268 NPPES
Kentucky Other 000000599493 BLUE CROSS/BLUE SHIELD
Kentucky Other 010672601002 BLUE CROSS/BLUE SHIELD
Kentucky MEDICAID 7100064580 BLUE CROSS/BLUE SHIELD
Kentucky Other 4193075 BLUE CROSS/BLUE SHIELD
Kentucky Other P00695344 BLUE CROSS/BLUE SHIELD
Kentucky Other P00695341 BLUE CROSS/BLUE SHIELD
Kentucky MEDICAID 1509646 BLUE CROSS/BLUE SHIELD
Kentucky MEDICAID 200112930A BLUE CROSS/BLUE SHIELD
Kentucky Other P00695340 BLUE CROSS/BLUE SHIELD
Kentucky Other 1629015268 BLUE CROSS/BLUE SHIELD

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