Fornetti, Willa C

Fornetti, Willa C is an individual health care provider with primary practice located at 855 N Westhaven Dr , Oshkosh WI 54904-7668. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Fornetti, Willa C can be contacted via phone (920) 303-8700.

Contact Information

Primary practice address
855 N Westhaven Dr Oshkosh WI 54904-7668
Phone: (920) 303-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 49282-021 Wisconsin
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 49282-21 Wisconsin
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 49282 Wisconsin

Profile Details

NPI number 1376650572
LBN Legal business name Fornetti, Willa C
Credentials DO, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 21st, 2022 - about 3 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 1376650572 NPPES
Wisconsin MEDICAID 43534400

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