Williams, Theodore
Williams, Theodore is an individual health care provider with primary practice located at 1371 Victory Dr , South Euclid OH 44121-3628. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Williams, Theodore can be contacted via phone (216) 513-3249.Contact Information
Primary practice address
1371 Victory Dr
South Euclid OH 44121-3628
Phone: (216) 513-3249
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1629692801 |
|---|---|
| LBN Legal business name | Williams, Theodore |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2020 |
| Last updated | May 2nd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629692801 | NPPES |
| Ohio | MEDICAID | 2910854 |
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