Williams, Roger Mark

Williams, Roger Mark is an sole proprietor health care provider with primary practice located at 501 Dr Michael Debakey Dr , Lake Charles LA 70601-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Williams, Roger Mark can be contacted via phone (337) 477-6172.

Contact Information

Primary practice address
501 Dr Michael Debakey Dr Lake Charles LA 70601-5724
Phone: (337) 477-6172
Fax: (337) 477-1422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 016891 Louisiana

Profile Details

NPI number 1750373460
LBN Legal business name Williams, Roger Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2005
Last updated Jul 21st, 2009 - about 16 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 1750373460 NPPES
Louisiana MEDICAID 1366901
Louisiana Other 76-0216590

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