Provider Demographics
NPI:1275533564
Name:HELWIG, WILLIAM J (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:HELWIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-6204
Mailing Address - Country:US
Mailing Address - Phone:330-393-4000
Mailing Address - Fax:330-392-5870
Practice Address - Street 1:2625 E MARKET ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-6203
Practice Address - Country:US
Practice Address - Phone:330-393-4000
Practice Address - Fax:330-392-5870
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35055186207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2066286Medicaid
OH2066286Medicaid
OHHE4087093Medicare PIN