Williams, Michael Neal

Williams, Michael Neal is an individual health care provider with primary practice located at 4902 E 21St St N , Wichita KS 67208-1601. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Williams, Michael Neal can be contacted via phone (316) 684-1470.

Contact Information

Primary practice address
4902 E 21St St N Wichita KS 67208-1601
Phone: (316) 684-1470
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 480920066 Kansas

Profile Details

NPI number 1457387359
LBN Legal business name Williams, Michael Neal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1457387359 NPPES
Kansas MEDICAID 100221620A

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