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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 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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