Williams, Brian Jeffery

Williams, Brian Jeffery is an individual health care provider with primary practice located at 602 Fort Union Blvd 2Nd Floor, Midvale UT 84047-2216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Williams, Brian Jeffery can be contacted via phone (801) 313-1010.

Contact Information

Primary practice address
602 Fort Union Blvd 2Nd Floor Midvale UT 84047-2216
Phone: (801) 313-1010
Fax: (801) 747-2116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 5322538-1205 Utah

Profile Details

NPI number 1235162199
LBN Legal business name Williams, Brian Jeffery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Dec 9th, 2009 - about 17 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 1235162199 NPPES
Utah Other D5439 MEDICAID LICENSE NUMBER
Utah MEDICAID 1235162199 MEDICAID LICENSE NUMBER

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