Williams, Reatha M

Williams, Reatha M is an individual health care provider with primary practice located at 5000 Ambassador Caffery Pkwy Bldg 10 , Lafayette LA 70508-6984. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Williams, Reatha M can be contacted via phone (337) 470-7801.

Contact Information

Primary practice address
5000 Ambassador Caffery Pkwy Bldg 10 Lafayette LA 70508-6984
Fax: (337) 470-7800
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS 8472 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X DO.000148 Louisiana

Profile Details

NPI number 1740236504
LBN Legal business name Williams, Reatha M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated May 21st, 2021 - about 3 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 1740236504 NPPES
Louisiana MEDICAID 1369357
Louisiana MEDICAID 264585801

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