Williams, Dana Ray
Williams, Dana Ray is an individual health care provider with primary practice located at 2137 Lakeside Dr Suite 100, Lynchburg VA 24501-6806. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Williams, Dana Ray can be contacted via phone (434) 845-4175.Contact Information
Primary practice address
2137 Lakeside Dr Suite 100
Lynchburg VA 24501-6806
Phone: (434) 845-4175
Fax: (434) 385-9616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 101941 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110840307 | Virginia |
Profile Details
| NPI number | 1063485001 |
|---|---|
| LBN Legal business name | Williams, Dana Ray |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Sep 21st, 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 | 1063485001 | NPPES |
| Virginia | MEDICAID | 1063485001 | |
| Virginia | Other | P00603322 |
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