Williamson, Wayne

Williamson, Wayne is an individual health care provider with primary practice located at 302 3Rd St Se Suite 150, Loveland CO 80537-6419. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Williamson, Wayne can be contacted via phone (970) 669-4855.

Contact Information

Primary practice address
302 3Rd St Se Suite 150 Loveland CO 80537-6419
Phone: (970) 669-4855
Fax: (970) 669-7389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 97 Colorado

Profile Details

NPI number 1508864299
LBN Legal business name Williamson, Wayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 6th, 2014 - about 12 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 1508864299 NPPES
Colorado MEDICAID 07079007

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