Williams, Ted A

Williams, Ted A is an individual health care provider with primary practice located at 5875 Bremo Rd Suite 303, Richmond VA 23226-1934. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Williams, Ted A can be contacted via phone (804) 893-8610.

Contact Information

Primary practice address
5875 Bremo Rd Suite 303 Richmond VA 23226-1934
Phone: (804) 893-8610
Fax: (804) 287-7285
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101044947 Virginia
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 0101044947 Virginia

Profile Details

NPI number 1134223589
LBN Legal business name Williams, Ted A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Aug 14th, 2012 - about 13 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 1134223589 NPPES
Virginia Other C06778 GROUP PTAN
Virginia MEDICAID 6734961 GROUP PTAN

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