Williams, Andrea
Williams, Andrea is an individual health care provider with primary practice located at 22837 Avalon St , Saint Clair Shores MI 48080-2468. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Williams, Andrea can be contacted via phone (586) 899-1950.Contact Information
Primary practice address
22837 Avalon St
Saint Clair Shores MI 48080-2468
Phone: (586) 899-1950
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9105695 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601007402 | Michigan |
Profile Details
| NPI number | 1083915052 |
|---|---|
| LBN Legal business name | Williams, Andrea |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2010 |
| Last updated | Sep 20th, 2019 - about 7 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 | 1083915052 | NPPES |
| Florida | Other | DZ831Z | MEDICARE |
| Florida | Other | P00878021 | MEDICARE |
| Florida | MEDICAID | 002913600 | MEDICARE |
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