Williams, Jennifer

Williams, Jennifer is an individual health care provider with primary practice located at 652 Petaluma Ave Suite F, Sebastopol CA 95472-4266. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Williams, Jennifer can be contacted via phone (707) 823-2334.

Contact Information

Primary practice address
652 Petaluma Ave Suite F Sebastopol CA 95472-4266
Phone: (707) 823-2334
Fax: (707) 823-3007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G55656 California

Profile Details

NPI number 1821050766
LBN Legal business name Williams, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jan 6th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821050766 NPPES
California MEDICAID 1821050766

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