Williams, Michelle A

Williams, Michelle A is an sole proprietor health care provider with primary practice located at 17508 145Th Dr , Jamaica NY 11434-4933. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Williams, Michelle A can be contacted via phone (718) 000-0000.

Contact Information

Primary practice address
17508 145Th Dr Jamaica NY 11434-4933
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 261838-1 New York

Profile Details

NPI number 1063687952
LBN Legal business name Williams, Michelle A
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2008
Last updated Oct 29th, 2014 - about 12 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 1063687952 NPPES
New York MEDICAID 02920221

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