Williams, Paul D

Williams, Paul D is an individual health care provider with primary practice located at 5 Prospect St , Putnam CT 06260-2127. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Williams, Paul D can be contacted via phone (860) 928-5904.

Contact Information

Primary practice address
5 Prospect St Putnam CT 06260-2127
Phone: (860) 928-5904
Fax: (860) 928-0701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 001555 Connecticut

Profile Details

NPI number 1699745000
LBN Legal business name Williams, Paul D
Credentials PH D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Oct 14th, 2010 - about 15 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 1699745000 NPPES
Connecticut Other 80058 MANAGED HEALTH NETWORK
Connecticut Other 060001555CT01 MANAGED HEALTH NETWORK
Connecticut MEDICAID 004095726 MANAGED HEALTH NETWORK
Connecticut Other 133470 MANAGED HEALTH NETWORK

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