Williams, Sebastian

Williams, Sebastian is an sole proprietor health care provider with primary practice located at 11547 Sutphin Blvd , Jamaica NY 11434-1020. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Williams, Sebastian can be contacted via phone (718) 807-7781.

Contact Information

Primary practice address
11547 Sutphin Blvd Jamaica NY 11434-1020
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 514024033 New York

Profile Details

NPI number 1073151833
LBN Legal business name Williams, Sebastian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2019
Last updated Dec 23rd, 2019 - about 4 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 1073151833 NPPES
New York MEDICAID 83-4219693

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