South, James Willis
South, James Willis is an individual health care provider with primary practice located at 175 S Union Blvd Ste 300 , Colorado Springs CO 80910-3126. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. South, James Willis can be contacted via phone (719) 365-1950.Contact Information
Primary practice address
175 S Union Blvd Ste 300
Colorado Springs CO 80910-3126
Phone: (719) 365-1950
Fax: (719) 365-1951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 797 | Colorado |
Profile Details
| NPI number | 1639149214 |
|---|---|
| LBN Legal business name | South, James Willis |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Sep 21st, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639149214 | NPPES |
| Colorado | MEDICAID | 03086712 |
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