Williams, Scott Edward

Williams, Scott Edward is an sole proprietor health care provider with primary practice located at 101 Dayspring Dr , Columbia MO 65203-0285. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Williams, Scott Edward can be contacted via phone (573) 445-1140.

Contact Information

Primary practice address
101 Dayspring Dr Columbia MO 65203-0285
Phone: (573) 445-1140
Fax: (573) 445-8564
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1629230677
LBN Legal business name Williams, Scott Edward
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2008
Last updated Jul 1st, 2008 - about 18 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 1629230677 NPPES
Missouri MEDICAID 856169909

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