Williams, Michael Tyelar
Williams, Michael Tyelar is an individual health care provider with primary practice located at 404 S White St , Athens TN 37303-4732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Williams, Michael Tyelar can be contacted via phone (423) 745-4322.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD37798 | Tennessee |
Profile Details
| NPI number | 1992781751 |
|---|---|
| LBN Legal business name | Williams, Michael Tyelar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Feb 4th, 2009 - about 15 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 | 1992781751 | NPPES |
| Tennessee | MEDICAID | 38893201 | |
| Tennessee | MEDICAID | 080012905B | |
| Tennessee | MEDICAID | 5904043 | |
| Tennessee | Other | 4155984 |
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