Williams, Wanda Elizabeth

Williams, Wanda Elizabeth is an individual health care provider with primary practice located at 2033 Kylemore Dr , Xenia OH 45385-3933. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Williams, Wanda Elizabeth can be contacted via phone (937) 554-4869.

Contact Information

Primary practice address
2033 Kylemore Dr Xenia OH 45385-3933
Phone: (937) 554-4869
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1083772362
LBN Legal business name Williams, Wanda Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1083772362 NPPES
Ohio MEDICAID 2280311

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