Williams, Michele

Williams, Michele is an individual health care provider with primary practice located at 115 Skyline Dr Ste A , Russellville AR 72802-3310. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Williams, Michele can be contacted via phone (479) 967-5155.

Contact Information

Primary practice address
115 Skyline Dr Ste A Russellville AR 72802-3310
Phone: (479) 967-5155
Fax: (479) 967-5141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2560 Arkansas

Profile Details

NPI number 1588644959
LBN Legal business name Williams, Michele
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Feb 28th, 2008 - about 16 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 1588644959 NPPES
Arkansas Other 5X455 BLUE CROSS BLUE SHIELD

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