Williams, Paul D
Williams, Paul D is an individual health care provider with primary practice located at 5 Prospect St , Putnam CT 06260-2127. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Williams, Paul D can be contacted via phone (860) 928-5904.Contact Information
Primary practice address
5 Prospect St
Putnam CT 06260-2127
Phone: (860) 928-5904
Fax: (860) 928-0701
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 001555 | Connecticut |
Profile Details
NPI number | 1699745000 |
---|---|
LBN Legal business name | Williams, Paul D |
Credentials | PH D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2006 |
Last updated | Oct 14th, 2010 - about 14 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 | 1699745000 | NPPES |
Connecticut | Other | 80058 | MANAGED HEALTH NETWORK |
Connecticut | Other | 060001555CT01 | MANAGED HEALTH NETWORK |
Connecticut | MEDICAID | 004095726 | MANAGED HEALTH NETWORK |
Connecticut | Other | 133470 | MANAGED HEALTH NETWORK |
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