Provider Demographics
NPI:1043023955
Name:WILLIAMS, SHELDON LEE SR
Entity type:Individual
Prefix:
First Name:SHELDON
Middle Name:LEE
Last Name:WILLIAMS
Suffix:SR
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 1:9729 BIA ROAD 21
Mailing Address - Street 2:
Mailing Address - City:BELCOURT
Mailing Address - State:ND
Mailing Address - Zip Code:58316-3842
Mailing Address - Country:US
Mailing Address - Phone:701-477-5127
Mailing Address - Fax:
Practice Address - Street 1:9729 BIA ROAD 21
Practice Address - Street 2:
Practice Address - City:BELCOURT
Practice Address - State:ND
Practice Address - Zip Code:58316-3842
Practice Address - Country:US
Practice Address - Phone:701-477-5127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care