Sallis, Willie Earl

Sallis, Willie Earl is an sole proprietor health care provider with primary practice located at 301 Andrews Ave Lyster Army Health Clinic Blding, Fort Rucker AL 36362-0701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sallis, Willie Earl can be contacted via phone (334) 255-7349.

Contact Information

Primary practice address
301 Andrews Ave Lyster Army Health Clinic Blding Fort Rucker AL 36362-0701
Phone: (334) 255-7349
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1689606709
LBN Legal business name Sallis, Willie Earl
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Aug 8th, 2011 - about 13 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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