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
Phone: (503) 378-7526
Fax: (503) 585-4278
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306827100 | NPPES |
Oregon | MEDICAID | 023015 |
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