Williams, William Earle

Williams, William Earle is an individual health care provider with primary practice located at 1233 Edgewater St Nw , Salem OR 97304-4049. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Williams, William Earle can be contacted via phone (503) 378-7526.

Contact Information

Primary practice address
1233 Edgewater St Nw Salem OR 97304-4049
Fax: (503) 585-4278
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00403 Oregon

Profile Details

NPI number 1306827100
LBN Legal business name Williams, William Earle
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Apr 7th, 2009 - about 15 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 1306827100 NPPES
Oregon MEDICAID 023015

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