Williams, Bert Edward

Williams, Bert Edward is an individual health care provider with primary practice located at 97 Thomas Johnson Drive Suite 102, Frederick MD 21702-4379. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Williams, Bert Edward can be contacted via phone (301) 694-0414.

Contact Information

Primary practice address
97 Thomas Johnson Drive Suite 102 Frederick MD 21702-4379
Phone: (301) 694-0414
Fax: (301) 694-0415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X D0054397 Maryland

Profile Details

NPI number 1497813208
LBN Legal business name Williams, Bert Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Apr 3rd, 2008 - about 18 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 1497813208 NPPES
Maryland MEDICAID 808003800

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