1528103579 NPI number — WALTER WILLIAMS

Table of content: (NPI 1528103579)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528103579 NPI number — WALTER WILLIAMS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WALTER WILLIAMS
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:
1528103579
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/13/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1119 HIGHLAND AVE STE 1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLARKSTON
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99403-2836
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-758-5141
Provider Business Mailing Address Fax Number:
509-758-5299

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1119 HIGHLAND AVE STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLARKSTON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99403-2836
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-758-5141
Provider Business Practice Location Address Fax Number:
509-758-5299
Provider Enumeration Date:
02/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
WALTER
Authorized Official Middle Name:
LEROY
Authorized Official Title or Position:
DOCTOR-OWNER
Authorized Official Telephone Number:
509-758-5141

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  MD00041565 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 7124696 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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