Williams, Gerald Eugene
Williams, Gerald Eugene is an individual health care provider with primary practice located at 2020 Capitol St Ne , Salem OR 97301-0644. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Williams, Gerald Eugene can be contacted via phone (503) 399-2424.Contact Information
Primary practice address
2020 Capitol St Ne
Salem OR 97301-0644
Phone: (503) 399-2424
Fax: (503) 375-7429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO151083 | Oregon |
Profile Details
| NPI number | 1124271002 |
|---|---|
| LBN Legal business name | Williams, Gerald Eugene |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2008 |
| Last updated | Dec 19th, 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 | 1124271002 | NPPES |
| Oregon | MEDICAID | 500625304 |
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