Williams, Susan Theresa
Williams, Susan Theresa is an individual health care provider with primary practice located at 150 Collins St , Memphis TN 38112-3814. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Williams, Susan Theresa can be contacted via phone (901) 526-7444.Contact Information
Primary practice address
150 Collins St
Memphis TN 38112-3814
Phone: (901) 526-7444
Fax: (901) 526-0791
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD29006 | Tennessee |
Profile Details
NPI number | 1891796520 |
---|---|
LBN Legal business name | Williams, Susan Theresa |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 3rd, 2005 |
Last updated | Jul 8th, 2007 - about 18 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 | 1891796520 | NPPES |
Tennessee | MEDICAID | 3827899 | |
Tennessee | MEDICAID | 0121717 |
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