Williams, Michael R.

Williams, Michael R. is an individual health care provider with primary practice located at 1850 Chadwick Dr , Jackson MS 39204-3404. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Williams, Michael R. can be contacted via phone (904) 805-1300.

Contact Information

Primary practice address
1850 Chadwick Dr Jackson MS 39204-3404
Phone: (904) 805-1300
Fax: (904) 805-1302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R754167 Mississippi

Profile Details

NPI number 1861436990
LBN Legal business name Williams, Michael R.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 3rd, 2017 - about 7 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 1861436990 NPPES
Mississippi Other 202011213A BLUE CROSS
Mississippi MEDICAID 08221076 BLUE CROSS
Mississippi Other 582446825 BLUE CROSS

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