Egger, Willis David

Egger, Willis David is an sole proprietor health care provider with primary practice located at 1609 N Conway Ave. , Mission TX 78572. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Egger, Willis David can be contacted via phone (956) 519-9398.

Contact Information

Primary practice address
1609 N Conway Ave. Mission TX 78572
Fax: (956) 519-7166
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19383 Texas

Profile Details

NPI number 1770627911
LBN Legal business name Egger, Willis David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2007
Last updated Jun 9th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770627911 NPPES
Texas MEDICAID 182396501

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