Paul, Willis R

Paul, Willis R is an individual health care provider with primary practice located at 4121 Monroeville Blvd , Monroeville PA 15146-2607. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Paul, Willis R can be contacted via phone (877) 257-6272.

Contact Information

Primary practice address
4121 Monroeville Blvd Monroeville PA 15146-2607
Phone: (877) 257-6272
Fax: (412) 343-3769
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN252958L Pennsylvania

Profile Details

NPI number 1215902473
LBN Legal business name Paul, Willis R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Nov 19th, 2020 - about 4 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 1215902473 NPPES
Pennsylvania MEDICAID 001942022

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