Williams, Nathan Dwayne

Williams, Nathan Dwayne is an sole proprietor health care provider with primary practice located at 1322 W Gayman Dr , Decatur IL 62526-1308. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Williams, Nathan Dwayne can be contacted via phone (217) 877-1067.

Contact Information

Primary practice address
1322 W Gayman Dr Decatur IL 62526-1308
Phone: (217) 877-1067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1982810511
LBN Legal business name Williams, Nathan Dwayne
Credentials M. S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Jul 8th, 2007 - about 17 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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