Carlisle, Willard Roger

Carlisle, Willard Roger is an individual health care provider with primary practice located at 1 Independence Plz Suite 900, Birmingham AL 35209-2629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Carlisle, Willard Roger can be contacted via phone (205) 271-8000.

Contact Information

Primary practice address
1 Independence Plz Suite 900 Birmingham AL 35209-2629
Fax: (205) 879-0548
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 7258 Alabama

Profile Details

NPI number 1275517377
LBN Legal business name Carlisle, Willard Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Aug 5th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275517377 NPPES
Alabama MEDICAID 528400180

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