Williams, Richard Irwin

Williams, Richard Irwin is an individual health care provider with primary practice located at 315 N Washington Ave Suite 150, Cookeville TN 38501-2603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Williams, Richard Irwin can be contacted via phone (800) 264-3762.

Contact Information

Primary practice address
315 N Washington Ave Suite 150 Cookeville TN 38501-2603
Phone: (800) 264-3762
Fax: (615) 292-9469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 27426 Tennessee

Profile Details

NPI number 1972663144
LBN Legal business name Williams, Richard Irwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Oct 12th, 2023 - about 2 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 1972663144 NPPES
Tennessee MEDICAID Q012854

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