Williams, Patrick Dale
Williams, Patrick Dale is an sole proprietor health care provider with primary practice located at 222 Herlong Ave S , Rock Hill SC 29732-1158. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Williams, Patrick Dale can be contacted via phone (803) 329-1234.Contact Information
Primary practice address
222 Herlong Ave S
Rock Hill SC 29732-1158
Phone: (803) 329-1234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP130336 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 23337 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1-137158 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 5010304 | North Carolina |
Profile Details
| NPI number | 1720453954 |
|---|---|
| LBN Legal business name | Williams, Patrick Dale |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2015 |
| Last updated | Jul 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720453954 | NPPES |
| Texas | MEDICAID | 362926301 |
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