Streetman, William C

Streetman, William C is an individual health care provider with primary practice located at 470 Taylor Road, Suite 202, Montgomery AL 36117-3532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Streetman, William C can be contacted via phone (334) 244-6773.

Contact Information

Primary practice address
470 Taylor Road, Suite 202 Montgomery AL 36117-3532
Phone: (334) 244-6773
Fax: (334) 244-4234
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD.203569 Louisiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 001316 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X MD.33601 Alabama

Profile Details

NPI number 1477730026
LBN Legal business name Streetman, William C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2008
Last updated Jan 6th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477730026 NPPES
Georgia MEDICAID 003111789A
Georgia MEDICAID 2107879
Georgia Other 137444
Georgia MEDICAID 168125
Georgia Other 52525021-001

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