Willis Chiropractic

LBN: J R Willis Dc Pc
Willis Chiropractic is an health care organization with primary practice located at 1512 N Walker St , Princeton WV 24740-2639. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. J R Willis Dc Pc can be contacted via phone (304) 487-8985, or through Willis, Lee R via phone (276) 228-3883.

Contact Information

Primary practice address
1512 N Walker St Princeton WV 24740-2639
Phone: (304) 487-8985
Fax: (304) 425-1680
Website:
Map and Directions
Authorized official contact:
Name: Willis, Lee R Doctor of Chiropractic (DC)
Phone: (276) 228-3883

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 589 West Virginia
Chiropractic Providers / Chiropractor 111N00000X 0104001278 Virginia

Profile Details

NPI number 1710974779
LBN Legal business name J R Willis Dc Pc
DBA Doing business as Willis Chiropractic
Authorized official Willis, Lee R Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710974779 NPPES
West Virginia MEDICAID 0131755000

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