Williamson, Heather Carolyn
Williamson, Heather Carolyn is an individual health care provider with primary practice located at 3449 Pheasant Meadow Dr Ste 107, O Fallon MO 63368-7364. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Williamson, Heather Carolyn can be contacted via phone (636) 379-4140.Contact Information
Primary practice address
3449 Pheasant Meadow Dr Ste 107
O Fallon MO 63368-7364
Phone: (636) 379-4140
Fax: (636) 379-4132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2001026591 | Missouri |
Profile Details
| NPI number | 1700880358 |
|---|---|
| LBN Legal business name | Williamson, Heather Carolyn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Mar 13th, 2013 - about 13 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 | 1700880358 | NPPES |
| Missouri | MEDICAID | 204028005 |
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