Williams, Jason D

Williams, Jason D is an individual health care provider with primary practice located at 125 Diana Dr , Webster Springs WV 26288-9078. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Williams, Jason D can be contacted via phone (304) 847-5682.

Contact Information

Primary practice address
125 Diana Dr Webster Springs WV 26288-9078
Phone: (304) 847-5682
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 002530

Profile Details

NPI number 1952387110
LBN Legal business name Williams, Jason D
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Apr 26th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1952387110 NPPES
West Virginia MEDICAID 3810007237

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