Williams, Samuel

Williams, Samuel is an individual health care provider with primary practice located at 301 Riverview Avenue Suite 500, Norfolk VA 23510-1064. 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, Samuel can be contacted via phone (757) 624-1785.

Contact Information

Primary practice address
301 Riverview Avenue Suite 500 Norfolk VA 23510-1064
Phone: (757) 624-1785
Fax: (757) 624-1759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110001619 Virginia

Profile Details

NPI number 1316956287
LBN Legal business name Williams, Samuel
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jan 4th, 2011 - 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 1316956287 NPPES
Other VAA103569 INDIVIDUAL PTAN

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