Andes, Willard Abe
Andes, Willard Abe is an sole proprietor health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2367. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Andes, Willard Abe can be contacted via phone (360) 414-7878.Contact Information
Primary practice address
1615 Delaware St
Longview WA 98632-2367
Phone: (360) 414-7878
Fax: (360) 414-7876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | MD61081628 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD61081628 | Washington |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | MD61081628 | Virginia |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 35830 | North Carolina |
Profile Details
| NPI number | 1639215932 |
|---|---|
| LBN Legal business name | Andes, Willard Abe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 21st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639215932 | NPPES |
| North Carolina | Other | 18582 | MEDICAL LICENSE |
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