Individual
JOSEPH C MCWILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 COLLEGE RD STE 14, FAIRBANKS, AK 99701-1739
(907) 590-1821
Mailing address
PO BOX 30032, CENTRAL, AK 99730-0032
(907) 520-5496
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2110250
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110250
BUSINESS LICENSE
AK
Enumeration date
10/02/2020
Last updated
10/02/2020
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