Williams, Wendell N

Williams, Wendell N is an individual health care provider with primary practice located at 350 S 40Th St , Muskogee OK 74401-4915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Williams, Wendell N can be contacted via phone (918) 683-0753.

Contact Information

Primary practice address
350 S 40Th St Muskogee OK 74401-4915
Fax: (918) 683-5677
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 29512 Oklahoma

Profile Details

NPI number 1164477287
LBN Legal business name Williams, Wendell N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Dec 17th, 2013 - about 13 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 1164477287 NPPES
Oklahoma MEDICAID 200465640A

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