Williams, Roger Mark
Williams, Roger Mark is an sole proprietor health care provider with primary practice located at 501 Dr Michael Debakey Dr , Lake Charles LA 70601-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Williams, Roger Mark can be contacted via phone (337) 477-6172.Contact Information
Primary practice address
501 Dr Michael Debakey Dr
Lake Charles LA 70601-5724
Phone: (337) 477-6172
Fax: (337) 477-1422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 016891 | Louisiana |
Profile Details
| NPI number | 1750373460 |
|---|---|
| LBN Legal business name | Williams, Roger Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jul 21st, 2009 - about 17 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 | 1750373460 | NPPES |
| Louisiana | MEDICAID | 1366901 | |
| Louisiana | Other | 76-0216590 |
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