Williams, Nathan Earl
Williams, Nathan Earl is an sole proprietor health care provider with primary practice located at 3821 Pointe Forest Dr , Florissant MO 63034-1015. He recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as his primary health care specialty. Williams, Nathan Earl can be contacted via phone (314) 831-3852.Contact Information
Primary practice address
3821 Pointe Forest Dr
Florissant MO 63034-1015
Phone: (314) 831-3852
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Managed Care Organizations / Point of Service | 305S00000X |
Profile Details
NPI number | 1962965772 |
---|---|
LBN Legal business name | Williams, Nathan Earl |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 9th, 2019 |
Last updated | Apr 9th, 2019 - about 6 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 | 1962965772 | NPPES |
Nevada | MEDICAID | 1306222146 |
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