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Contact Information

CHRISTOPHER D WILLIAMSON, PA-C
30 HARRISON ST STE 460
JOHNSON CITY, NY13790
 Phone: 607-763-8101
 Fax: 607-763-8049
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHRISTOPHER D WILLIAMSON · (Male)

NPI # 1164408712
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/15/2005
Last updated 06/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AL License # PA 370
  • NY License # 022018
  • AL Medicaid 891010200
  • AL Other 51527772 BCBS
Hospital affiliation(s)
  • PORTNEUF MEDICAL CENTER - (Acute Care)
    777 HOSPITAL WAY
    POCATELLO, ID 83201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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