Healthcare Provider Details

I. General information

NPI: 1356856603
Provider Name (Legal Business Name): MICHELE C WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2017
Last Update Date: 12/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 11TH ST
SAN FRANCISCO CA
94103-3732
US

IV. Provider business mailing address

245 11TH ST
SAN FRANCISCO CA
94103-3732
US

V. Phone/Fax

Practice location:
  • Phone: 415-355-0311
  • Fax: 415-355-0353
Mailing address:
  • Phone: 415-355-0311
  • Fax: 415-355-2353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2470A2800X
TaxonomyAssistant Health Information Record Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: