Healthcare Provider Details

I. General information

NPI: 1972311777
Provider Name (Legal Business Name): CHLOE WILLIAMS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2024
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 PUTNAM AVE
ZANESVILLE OH
43701-5547
US

IV. Provider business mailing address

915 PUTNAM AVE
ZANESVILLE OH
43701-5547
US

V. Phone/Fax

Practice location:
  • Phone: 740-891-9000
  • Fax: 740-891-9001
Mailing address:
  • Phone: 740-891-9000
  • Fax: 740-891-9001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number50.008914RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: