Williams, Chad M

Williams, Chad M is an individual health care provider with primary practice located at 815 Tower Park Dr , Waterloo IA 50701-9027. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Williams, Chad M can be contacted via phone (319) 233-6995.

Contact Information

Primary practice address
815 Tower Park Dr Waterloo IA 50701-9027
Phone: (319) 233-6995
Fax: (319) 233-7083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-012667 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 004207 Iowa

Profile Details

NPI number 1285672352
LBN Legal business name Williams, Chad M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Apr 12th, 2012 - about 14 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 1285672352 NPPES
Illinois Other 070-012667 ILLINOIS PT LICENSE NUMBE

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