Williams, Timothy R

Williams, Timothy R is an individual health care provider with primary practice located at 2200 State St , Lawrenceville IL 62439-1852. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Williams, Timothy R can be contacted via phone (618) 943-7242.

Contact Information

Primary practice address
2200 State St Lawrenceville IL 62439-1852
Phone: (618) 943-7242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 02001015AB Indiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036.120252 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02001015A Indiana

Profile Details

NPI number 1194723247
LBN Legal business name Williams, Timothy R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Mar 23rd, 2016 - about 9 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 1194723247 NPPES
Missouri MEDICAID 245815311

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