Williams, Angela Nicole

Williams, Angela Nicole is an individual health care provider with primary practice located at 2221 W Detroit St , Broken Arrow OK 74012-3628. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Williams, Angela Nicole can be contacted via phone (918) 615-6492.

Contact Information

Primary practice address
2221 W Detroit St Broken Arrow OK 74012-3628
Phone: (918) 615-6492
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 1837 Oklahoma

Profile Details

NPI number 1215373089
LBN Legal business name Williams, Angela Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2013
Last updated Jul 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215373089 NPPES
Oklahoma MEDICAID 1837

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