1104925932 NPI number — WILLIAMS CONSULTING INC.

Table of content: (NPI 1104925932)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104925932 NPI number — WILLIAMS CONSULTING INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILLIAMS CONSULTING INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104925932
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/06/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1410 ROYAL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONROE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
71201-5608
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-998-3511
Provider Business Mailing Address Fax Number:
318-322-9492

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1410 ROYAL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONROE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71201-5608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-998-3511
Provider Business Practice Location Address Fax Number:
318-322-9492
Provider Enumeration Date:
09/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
TAMMY
Authorized Official Middle Name:
GAIL
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
318-998-3511

Provider Taxonomy Codes

  • Taxonomy code: 103TP0016X , with the licence number:  953MP , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 549848 . This is a "VALUEOPTIONS" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1725676 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 610195500 . This is a "U.S. DEPT. OF LABOR" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 2303960480 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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