Sellers, Willie
Sellers, Willie is an sole proprietor health care provider with primary practice located at 15354 W Charter Oak Rd , Surprise AZ 85379-9184. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Sellers, Willie can be contacted via phone (843) 616-4948.Contact Information
Primary practice address
15354 W Charter Oak Rd
Surprise AZ 85379-9184
Phone: (843) 616-4948
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 248870 | Arizona |
Profile Details
| NPI number | 1154928463 |
|---|---|
| LBN Legal business name | Sellers, Willie |
| Credentials | AGACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 8th, 2020 |
| Last updated | Oct 8th, 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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