Williams, Pamela Sue

Williams, Pamela Sue is an individual health care provider with primary practice located at 98 Poplar St , Blackfoot ID 83221-1758. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Williams, Pamela Sue can be contacted via phone (208) 785-4100.

Contact Information

Primary practice address
98 Poplar St Blackfoot ID 83221-1758
Phone: (208) 785-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X O-0454 Idaho

Profile Details

NPI number 1750598256
LBN Legal business name Williams, Pamela Sue
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jul 25th, 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 1750598256 NPPES
Idaho MEDICAID 807841700
Idaho Other 000010167601
Idaho Other 323925
Idaho Other S6241
Idaho Other 000010163103
Idaho Other S6167

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