Williamson, David A
Williamson, David A is an individual health care provider with primary practice located at 205 N East Ave Imaging Department, Jackson MI 49201-1753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Williamson, David A can be contacted via phone (517) 783-2612.Contact Information
Primary practice address
205 N East Ave Imaging Department
Jackson MI 49201-1753
Phone: (517) 783-2612
Fax: (517) 783-5991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301052819 | Michigan |
Profile Details
| NPI number | 1013918127 |
|---|---|
| LBN Legal business name | Williamson, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Jan 10th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013918127 | NPPES |
| Michigan | Other | 4301052819 | STATE OF MICHIGAN MEDICAL LICENSE |
| Michigan | Other | 300020176 | STATE OF MICHIGAN MEDICAL LICENSE |
| Michigan | Other | 3103801401 | STATE OF MICHIGAN MEDICAL LICENSE |
| Michigan | MEDICAID | 1915052 | STATE OF MICHIGAN MEDICAL LICENSE |
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