Williams, Fred Andrew
Williams, Fred Andrew is an individual health care provider with primary practice located at 2500 Hospital Drive , Martinsburg WV 25401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Williams, Fred Andrew can be contacted via phone (304) 264-1000.Contact Information
Primary practice address
2500 Hospital Drive
Martinsburg WV 25401
Phone: (304) 264-1000
Fax: (304) 264-1374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 12261 | West Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 12261 | West Virginia |
Profile Details
| NPI number | 1750380671 |
|---|---|
| LBN Legal business name | Williams, Fred Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Nov 5th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750380671 | NPPES |
| West Virginia | MEDICAID | 0049881000 | |
| West Virginia | MEDICAID | 6021417 |
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