Michael Williams
Individual provider Active NPI Land Ambulance · Perkins, OK
NPI 1619205580 · NPPES record last updated Dec 4, 2009
Key facts
- NPI
- 1619205580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 448 (OK)
- Practice address
- 8202 E 116TH St
Perkins, OK 74059-3738 - Phone
- (405) 269-2988
- NPI assigned
- Dec 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 448 | OK | Yes |
Addresses
Primary practice location
8202 E 116TH St
Perkins, OK 74059-3738
Mailing address
PO Box 466
Perkins, OK 74059-0466
Other providers in Perkins, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.