Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 10845 | MT |
N | 207Q00000X | Family Doctor | 10845 | MT |
N | 207V00000X | Obstetrician & Gynecologist | 10845 | MT |
NPI | 1003922014 |
---|---|
Provider Name | Jeanne H Williams |
First Address | Plains, MT 59859-9506 |
Second Address | Plains, MT 59859-9506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H16430 | (02) | MT |
PENDING | (05) | MT |
PENDING | BLUE CROSS/MONTANA (01) | MT |