Williams, Wendell Hiebert

Williams, Wendell Hiebert is an individual health care provider with primary practice located at 1361 13Th Ave S Ste 245 , Jacksonville Beach FL 32250. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Williams, Wendell Hiebert can be contacted via phone (904) 493-7174.

Contact Information

Primary practice address
1361 13Th Ave S Ste 245 Jacksonville Beach FL 32250
Phone: (904) 493-7174
Fax: (904) 694-0696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME29168 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME29168 Florida

Profile Details

NPI number 1376509679
LBN Legal business name Williams, Wendell Hiebert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 10th, 2023 - about last year

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 1376509679 NPPES
Florida Other 1608901 CIGNA
Florida Other 78589 CIGNA
Florida Other 40538 CIGNA
Florida Other DT8174 CIGNA
Florida Other PO1494164 CIGNA
Florida Other 004E6 CIGNA
Florida Other 0098365-00 CIGNA
Florida MEDICAID 0082748-00 CIGNA

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