Hilliard, Willie

Hilliard, Willie is an individual health care provider with primary practice located at 460 Briarwood Dr Ste 510 , Jackson MS 39206-3057. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Hilliard, Willie can be contacted via phone (601) 956-4816.

Contact Information

Primary practice address
460 Briarwood Dr Ste 510 Jackson MS 39206-3057
Fax: (601) 956-4817
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1942855788
LBN Legal business name Hilliard, Willie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2019
Last updated Aug 8th, 2019 - about 6 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 1942855788 NPPES
Mississippi MEDICAID 01670076

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