Williams, Radagast

Williams, Radagast is an sole proprietor health care provider with primary practice located at 349 County Route 25 , Haines Falls NY 12436. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Williams, Radagast can be contacted via phone (518) 589-0400.

Contact Information

Primary practice address
349 County Route 25 Haines Falls NY 12436
Phone: (518) 589-0400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 022746-1 New York

Profile Details

NPI number 1114155520
LBN Legal business name Williams, Radagast
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2009
Last updated Jun 24th, 2009 - 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 1114155520 NPPES
New York Other 022746-1 EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS

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