Harley, Willie
Harley, Willie is an sole proprietor health care provider with primary practice located at 4024 N Darien St , Philadelphia PA 19140-2237. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as his primary health care specialty. Harley, Willie can be contacted via phone (267) 778-8390.Contact Information
Primary practice address
4024 N Darien St
Philadelphia PA 19140-2237
Phone: (267) 778-8390
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X | 169194 | Pennsylvania |
Profile Details
| NPI number | 1669255220 |
|---|---|
| LBN Legal business name | Harley, Willie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2023 |
| Last updated | Aug 17th, 2023 - about 2 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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