Self, William

Self, William is an individual health care provider with primary practice located at 495 S Nova Rd Ste 101A , Ormond Beach FL 32174-8444. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Self, William can be contacted via phone (386) 487-4673.

Contact Information

Primary practice address
495 S Nova Rd Ste 101A Ormond Beach FL 32174-8444
Phone: (386) 487-4673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN9257951 Zz
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN9257951 Florida

Profile Details

NPI number 1245503093
LBN Legal business name Self, William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2012
Last updated Dec 29th, 2020 - about 6 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.

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