Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 01075162A | IN |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 01075162A | IN |
NPI | 1003852880 |
---|---|
Provider Name | Heather Celia Williams |
First Address | Indianapolis, IN 46278-1381 |
Second Address | Indianapolis, IN 46278-1381 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2006 |
Last Update Date | 31/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003852880 | (05) | IN |