Williard, William Clarence
Williard, William Clarence is an sole proprietor health care provider with primary practice located at 3920 Capitol Mall Dr Sw Suite 201, Olympia WA 98502-8700. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Williard, William Clarence can be contacted via phone (360) 754-1029.Contact Information
Primary practice address
3920 Capitol Mall Dr Sw Suite 201
Olympia WA 98502-8700
Phone: (360) 754-1029
Fax: (360) 754-7885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD00029497 | Washington |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00029497 | Washington |
Profile Details
| NPI number | 1700830064 |
|---|---|
| LBN Legal business name | Williard, William Clarence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2006 |
| Last updated | Feb 5th, 2013 - about 11 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 | 1700830064 | NPPES |
| Washington | Other | GAB21325 | PTAN |
| Washington | MEDICAID | 8272346 | PTAN |
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