Williams, Shawn M
Williams, Shawn M is an individual health care provider with primary practice located at 20783 N 83Rd Ave Ste 103 , Peoria AZ 85382-7430. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Williams, Shawn M can be contacted via phone (623) 444-8880.Contact Information
Primary practice address
20783 N 83Rd Ave Ste 103
Peoria AZ 85382-7430
Phone: (623) 444-8880
Fax: (623) 444-9282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 2491 | Arizona |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2491 | Arizona |
Profile Details
| NPI number | 1639162357 |
|---|---|
| LBN Legal business name | Williams, Shawn M |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Mar 19th, 2025 - about last year |
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 | 1639162357 | NPPES |
| Arizona | Other | 007171346 | AETNA |
| Arizona | Other | AZ0310170 | AETNA |
| Arizona | MEDICAID | 501032 | AETNA |
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