Williams, Thomas L.

Williams, Thomas L. is an individual health care provider with primary practice located at 307 Boatner Rd , Eglin Afb FL 32542-1302. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Williams, Thomas L. can be contacted via phone (850) 883-8349.

Contact Information

Primary practice address
307 Boatner Rd Eglin Afb FL 32542-1302
Phone: (850) 883-8349
Fax: (850) 883-8247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085003706 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085003706 Illinois

Profile Details

NPI number 1245220243
LBN Legal business name Williams, Thomas L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jun 3rd, 2021 - about 5 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 1245220243 NPPES
Illinois MEDICAID 085003706

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