Williams, Jordan Ryan

Williams, Jordan Ryan is an individual health care provider with primary practice located at 1400 E Church St , Santa Maria CA 93454-5906. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Williams, Jordan Ryan can be contacted via phone (805) 739-3000.

Contact Information

Primary practice address
1400 E Church St Santa Maria CA 93454-5906
Phone: (805) 739-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA19499 California

Profile Details

NPI number 1003090697
LBN Legal business name Williams, Jordan Ryan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2007
Last updated Apr 7th, 2008 - about 17 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 1003090697 NPPES
California MEDICAID PA19499

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