Williams, Randal E
Williams, Randal E is an individual health care provider with primary practice located at 1001 S Perry St Suite: 101B, Castle Rock CO 80104-2668. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Williams, Randal E can be contacted via phone (303) 688-2228.Contact Information
Primary practice address
1001 S Perry St Suite: 101B
Castle Rock CO 80104-2668
Phone: (303) 688-2228
Fax: (303) 663-0640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 15-00965 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA.0001279 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2010-0073 | New Mexico |
Profile Details
| NPI number | 1811966385 |
|---|---|
| LBN Legal business name | Williams, Randal E |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Apr 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811966385 | NPPES |
| New Mexico | MEDICAID | 71577289 | |
| New Mexico | MEDICAID | 200362810A | |
| New Mexico | MEDICAID | 95256237 |
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