Williams, Thomas C.

Williams, Thomas C. is an individual health care provider with primary practice located at 1808 W Main St , Russellville AR 72801-2724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Williams, Thomas C. can be contacted via phone (479) 968-2841.

Contact Information

Primary practice address
1808 W Main St Russellville AR 72801-2724
Phone: (479) 968-2841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C7989 Arkansas

Profile Details

NPI number 1790786408
LBN Legal business name Williams, Thomas C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jun 3rd, 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 1790786408 NPPES
Other 050031807 RR MEDICARE GROUP CC5970
Other 770078201 RR MEDICARE GROUP CC5970
MEDICAID 125265001 RR MEDICARE GROUP CC5970
Other 5J371 RR MEDICARE GROUP CC5970

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