Williamson, Christopher Devon

Williamson, Christopher Devon is an individual health care provider with primary practice located at 30 Harrison St Ste 460 , Johnson City NY 13790. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Williamson, Christopher Devon can be contacted via phone (607) 763-8101.

Contact Information

Primary practice address
30 Harrison St Ste 460 Johnson City NY 13790
Phone: (607) 763-8101
Fax: (607) 763-8049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA 370 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 022018 New York

Profile Details

NPI number 1164408712
LBN Legal business name Williamson, Christopher Devon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jun 18th, 2018 - about 8 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 1164408712 NPPES
Alabama Other 51527772 BCBS
Alabama MEDICAID 891010200 BCBS

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