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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134223589 | NPPES |
| Virginia | Other | C06778 | GROUP PTAN |
| Virginia | MEDICAID | 6734961 | GROUP PTAN |
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