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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962965772 NPPES
Nevada MEDICAID 1306222146

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