Williams, Evan Grant
Williams, Evan Grant is an individual health care provider with primary practice located at 1101 W Liberty St , Farmington MO 63640-1921. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Williams, Evan Grant can be contacted via phone (573) 756-6751.Contact Information
Primary practice address
1101 W Liberty St
Farmington MO 63640-1921
Phone: (573) 756-6751
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 28008 | South Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 28008 | South Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 28008 | South Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2019009758 | Missouri |
Profile Details
| NPI number | 1174605620 |
|---|---|
| LBN Legal business name | Williams, Evan Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Mar 31st, 2021 - about 5 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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