Williams, Randall Edward
Williams, Randall Edward is an individual health care provider with primary practice located at 800 Wall St Suite C, Valparaiso IN 46383-2564. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Williams, Randall Edward can be contacted via phone (219) 531-0459.Contact Information
Primary practice address
800 Wall St Suite C
Valparaiso IN 46383-2564
Phone: (219) 531-0459
Fax: (219) 464-9656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12009730 | Indiana |
Profile Details
| NPI number | 1700950516 |
|---|---|
| LBN Legal business name | Williams, Randall Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1700950516 | NPPES |
| Other | 799250 | UNITED CONCORDIA INS |
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