Williams, Shelley
Williams, Shelley is an individual health care provider with primary practice located at 2200 Forum Blvd 102, Columbia MO 65203-2700. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Williams, Shelley can be contacted via phone (573) 445-8780.Contact Information
Primary practice address
2200 Forum Blvd 102
Columbia MO 65203-2700
Phone: (573) 445-8780
Fax: (573) 445-8782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TO2968 | Missouri |
Profile Details
| NPI number | 1750384111 |
|---|---|
| LBN Legal business name | Williams, Shelley |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Feb 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750384111 | NPPES |
| Missouri | Other | 108696 | BCBS |
| Missouri | Other | 000009118 | BCBS |
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