Williams, Theodore G

Williams, Theodore G is an sole proprietor health care provider with primary practice located at 1300 Bristol St N Suite 175, Newport Beach CA 92660-2951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Williams, Theodore G can be contacted via phone (714) 437-7400.

Contact Information

Primary practice address
1300 Bristol St N Suite 175 Newport Beach CA 92660-2951
Phone: (714) 437-7400
Fax: (714) 437-7410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A23087 California

Profile Details

NPI number 1659328631
LBN Legal business name Williams, Theodore G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2006
Last updated Jan 28th, 2016 - about 9 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 1659328631 NPPES
California Other A23087 STATE LICENSE

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