Williams, Pamela Dianne

Williams, Pamela Dianne is an sole proprietor health care provider with primary practice located at 14344 Grandville Ave , Detroit MI 48223-2943. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Williams, Pamela Dianne can be contacted via phone (313) 704-3980.

Contact Information

Primary practice address
14344 Grandville Ave Detroit MI 48223-2943
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X D423676143597 Michigan

Profile Details

NPI number 1821541053
LBN Legal business name Williams, Pamela Dianne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2016
Last updated Jul 23rd, 2016 - about 10 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 1821541053 NPPES
Michigan Other 247200000X/TECHNICIA ADD TAXONOMY
Michigan Other 247200000X ADD TAXONOMY
Michigan MEDICAID 247200000X/TECHNICIA ADD TAXONOMY

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