Provider Demographics
NPI:1689432932
Name:WILLIAMS, JOSH LEE
Entity Type:Individual
Prefix:MR
First Name:JOSH
Middle Name:LEE
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66019 BETHEL RD
Mailing Address - Street 2:
Mailing Address - City:NEW PLYMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45654-8935
Mailing Address - Country:US
Mailing Address - Phone:740-249-5262
Mailing Address - Fax:
Practice Address - Street 1:66019 BETHEL RD
Practice Address - Street 2:
Practice Address - City:NEW PLYMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45654-8935
Practice Address - Country:US
Practice Address - Phone:740-249-5262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide