Ingram, William L
Ingram, William L is an individual health care provider with primary practice located at 915 13Th Ave N , Clinton IA 52732-5067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ingram, William L can be contacted via phone (563) 243-2511.Contact Information
Primary practice address
915 13Th Ave N
Clinton IA 52732-5067
Phone: (563) 243-2511
Fax: (563) 243-0817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35404 | Iowa |
Profile Details
| NPI number | 1013996636 |
|---|---|
| LBN Legal business name | Ingram, William L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Mar 15th, 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 | 1013996636 | NPPES |
| Iowa | MEDICAID | 6424713 | |
| Iowa | Other | 39643 | |
| Iowa | Other | 110983 | |
| Iowa | Other | IA01B6 | |
| Iowa | Other | 242932 |
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