Williams, Theodore G
Williams, Theodore G is an sole proprietor health care provider with primary practice located at 1300 Bristol St N Suite 175, Newport Beach CA 92660-2951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Williams, Theodore G can be contacted via phone (714) 437-7400.Contact Information
Primary practice address
1300 Bristol St N Suite 175
Newport Beach CA 92660-2951
Phone: (714) 437-7400
Fax: (714) 437-7410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A23087 | California |
Profile Details
| NPI number | 1659328631 |
|---|---|
| LBN Legal business name | Williams, Theodore G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2006 |
| Last updated | Jan 28th, 2016 - about 10 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 | 1659328631 | NPPES |
| California | Other | A23087 | STATE LICENSE |
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