Williams, Jesse Carl
Williams, Jesse Carl is an sole proprietor health care provider with primary practice located at 1806 N. 4Th St , Murray KY 42071. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Williams, Jesse Carl can be contacted via phone (270) 759-1429.Contact Information
Primary practice address
1806 N. 4Th St
Murray KY 42071
Phone: (270) 759-1429
Fax: (270) 759-1493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1909DT | Kentucky |
Profile Details
| NPI number | 1821343708 |
|---|---|
| LBN Legal business name | Williams, Jesse Carl |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2012 |
| Last updated | Jul 7th, 2021 - about 4 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 | 1821343708 | NPPES |
| Kentucky | MEDICAID | 7100327030 |
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