Williams, Van Wagner

Williams, Van Wagner is an individual health care provider with primary practice located at 16492 Mlc Ln , Rockville VA 23146-1857. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Williams, Van Wagner can be contacted via phone (804) 620-3365.

Contact Information

Primary practice address
16492 Mlc Ln Rockville VA 23146-1857
Phone: (804) 620-3365
Fax: (804) 620-3178
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101044104 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101044104 Virginia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101044104 Virginia

Profile Details

NPI number 1942404066
LBN Legal business name Williams, Van Wagner
Credentials M.D. MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Mar 7th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942404066 NPPES
Virginia Other 0101044104 STATE LICENSE

Popular Providers