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
Phone: (337) 470-7801
Fax: (337) 470-7800
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740236504 | NPPES |
Louisiana | MEDICAID | 1369357 | |
Louisiana | MEDICAID | 264585801 |
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