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:
Health care specialties
Specialty | Code | License # | 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 15 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 | 1114155520 | NPPES |
New York | Other | 022746-1 | EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS |
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