National Provider Identifier Database

WILLIAMS MEDICAL GROUP PRACTICE LLC
Rural Health


Contact Information

WILLIAMS MEDICAL GROUP PRACTICE, LLC
280 TROWER BLVD
MANNFORD, OK74044
Phone: 405-445-1210
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for WILLIAMS MEDICAL GROUP PRACTICE, LLC

NPI Number 1306660691
Legal business name
LBN
WILLIAMS MEDICAL GROUP PRACTICE, LLC
Authorized official GRANT ASAY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/13/2024
Last updated 11/13/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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