Provider Demographics
NPI:1265193742
Name:WILLIAMS, CHINIQUE NICOLE
Entity type:Individual
Prefix:
First Name:CHINIQUE
Middle Name:NICOLE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHINQUE
Other - Middle Name:NICOLE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7 APPLEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CRANBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-3644
Mailing Address - Country:US
Mailing Address - Phone:732-470-4181
Mailing Address - Fax:
Practice Address - Street 1:7 APPLEWOOD CT
Practice Address - Street 2:
Practice Address - City:CRANBURY
Practice Address - State:NJ
Practice Address - Zip Code:08512-3644
Practice Address - Country:US
Practice Address - Phone:732-470-4181
Practice Address - Fax:609-662-7874
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)