Williams, Reginald Gaylord

Williams, Reginald Gaylord is an sole proprietor health care provider with primary practice located at 94180 2Nd St , Gold Beach OR 97444-8733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Williams, Reginald Gaylord can be contacted via phone (541) 247-7047.

Contact Information

Primary practice address
94180 2Nd St Gold Beach OR 97444-8733
Phone: (541) 247-7047
Fax: (541) 247-0123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD08253 Oregon

Profile Details

NPI number 1225014632
LBN Legal business name Williams, Reginald Gaylord
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Mar 23rd, 2010 - about 16 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 1225014632 NPPES
Oregon Other 1407812365 NBMC GROUP NPI NUMBER
Oregon MEDICAID 214296 NBMC GROUP NPI NUMBER
Oregon Other CD8723 NBMC GROUP NPI NUMBER
Oregon Other 110074859 NBMC GROUP NPI NUMBER
Oregon Other R0000WFBTV NBMC GROUP NPI NUMBER

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