Williamson, Blake Jerald

Williamson, Blake Jerald is an sole proprietor health care provider with primary practice located at 14611 W 50Th St , Shawnee KS 66216-5116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Williamson, Blake Jerald can be contacted via phone (913) 248-1903.

Contact Information

Primary practice address
14611 W 50Th St Shawnee KS 66216-5116
Phone: (913) 248-1903
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-23901 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2003018093 Missouri

Profile Details

NPI number 1710244124
LBN Legal business name Williamson, Blake Jerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2012
Last updated Apr 23rd, 2012 - about 14 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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