Provider Demographics
NPI:1609453000
Name:CHAD M WILLIAMS INC
Entity Type:Organization
Organization Name:CHAD M WILLIAMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VISHRUTA
Authorized Official - Middle Name:K
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-952-2658
Mailing Address - Street 1:150 COURTHOUSE RD # SUIE1C
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-2450
Mailing Address - Country:US
Mailing Address - Phone:304-323-8906
Mailing Address - Fax:
Practice Address - Street 1:150 COURTHOUSE RD # SUIE1C
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-2450
Practice Address - Country:US
Practice Address - Phone:304-323-8906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care