Williams, Mark Thomas

Williams, Mark Thomas is an sole proprietor health care provider with primary practice located at 1219 Watervliet Ave , Dayton OH 45420-2705. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Williams, Mark Thomas can be contacted via phone (937) 256-2292.

Contact Information

Primary practice address
1219 Watervliet Ave Dayton OH 45420-2705
Phone: (937) 256-2292
Fax: (937) 256-9905
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1530 Ohio

Profile Details

NPI number 1538291737
LBN Legal business name Williams, Mark Thomas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Jul 8th, 2007 - about 19 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 1538291737 NPPES
Ohio Other 000000000568 ANTHEM COMMUNITY INS CO
Ohio MEDICAID 0875423 ANTHEM COMMUNITY INS CO

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