Williams-Wallace, Nancy E
Williams-Wallace, Nancy E is an sole proprietor health care provider with primary practice located at 36422 Us Highway 19 N , Palm Harbor FL 34684-1330. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Williams-Wallace, Nancy E can be contacted via phone (727) 772-7712.Contact Information
Primary practice address
36422 Us Highway 19 N
Palm Harbor FL 34684-1330
Phone: (727) 772-7712
Fax: (727) 772-6891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME69004 | Florida |
Profile Details
| NPI number | 1184650970 |
|---|---|
| LBN Legal business name | Williams-Wallace, Nancy E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Dec 7th, 2018 - about 7 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 | 1184650970 | NPPES |
| Florida | MEDICAID | 378657900 |
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