Williams, Nickolas A

Williams, Nickolas A is an individual health care provider with primary practice located at 1303 W Evergreen Ave Ste 200 , Effingham IL 62401-1638. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Williams, Nickolas A can be contacted via phone (217) 342-3400.

Contact Information

Primary practice address
1303 W Evergreen Ave Ste 200 Effingham IL 62401-1638
Phone: (217) 342-3400
Fax: (217) 342-3477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085004069 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085004069 Illinois

Profile Details

NPI number 1548558950
LBN Legal business name Williams, Nickolas A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2011
Last updated Jan 27th, 2022 - about 4 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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