Williams, Charles
Williams, Charles is an individual health care provider with primary practice located at 1535 River Parkway Blvd #1108, Shreveport LA 71104-1808. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Williams, Charles can be contacted via phone (318) 828-1500.Contact Information
Primary practice address
1535 River Parkway Blvd #1108
Shreveport LA 71104-1808
Phone: (318) 828-1500
Fax: (318) 670-6736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | 2380885 | Louisiana |
Profile Details
| NPI number | 1104285287 |
|---|---|
| LBN Legal business name | Williams, Charles |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2016 |
| Last updated | Feb 17th, 2016 - about 10 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 | 1104285287 | NPPES |
| Louisiana | MEDICAID | 2380885 |
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