Williams, Walter Keandre Desean
Williams, Walter Keandre Desean is an sole proprietor health care provider with primary practice located at 519 State St , New Albany IN 47150-3620. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Williams, Walter Keandre Desean can be contacted via phone (812) 948-0616.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 18004506A | Indiana |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1720838873 |
---|---|
LBN Legal business name | Williams, Walter Keandre Desean |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 22nd, 2024 |
Last updated | Jun 12th, 2024 - about 5 months 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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