Williams, Larry V

Williams, Larry V is an individual health care provider with primary practice located at 445 Clifty Dr , Madison IN 47250-1607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Williams, Larry V can be contacted via phone (812) 273-7700.

Contact Information

Primary practice address
445 Clifty Dr Madison IN 47250-1607
Phone: (812) 273-7700
Fax: (812) 273-2827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01023516 Indiana

Profile Details

NPI number 1982639712
LBN Legal business name Williams, Larry V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Apr 23rd, 2015 - about 11 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 1982639712 NPPES
Indiana MEDICAID 100148550A
Indiana Other 000000042196
Indiana Other 110184012
Indiana Other 265769
Indiana Other 410013P
Indiana Other 4370909

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