Williams, Mark M
Williams, Mark M is an individual health care provider with primary practice located at 8221 N Fresno St , Fresno CA 93720-2041. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Williams, Mark M can be contacted via phone (559) 222-2294.Contact Information
Primary practice address
8221 N Fresno St
Fresno CA 93720-2041
Phone: (559) 222-2294
Fax: (888) 374-8684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | G73670 | California |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G73670 | California |
Profile Details
| NPI number | 1295760601 |
|---|---|
| LBN Legal business name | Williams, Mark M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Mar 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295760601 | NPPES |
| Florida | Other | 18903 | BLUE CROSS |
| Florida | MEDICAID | 290994400 | BLUE CROSS |
| Florida | MEDICAID | 372895100 | BLUE CROSS |
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