Lilly, John Wayne
Lilly, John Wayne is an sole proprietor health care provider with primary practice located at 330 N. Eisenhower Dr. , Beckley WV 25801-3140. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lilly, John Wayne can be contacted via phone (304) 929-0786.Contact Information
Primary practice address
330 N. Eisenhower Dr.
Beckley WV 25801-3140
Phone: (304) 929-0786
Fax: (304) 929-2278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 64742 | West Virginia |
Profile Details
| NPI number | 1346510716 |
|---|---|
| LBN Legal business name | Lilly, John Wayne |
| Credentials | APRN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2012 |
| Last updated | Jun 13th, 2014 - about 10 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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