Willard, Brent Alan
Willard, Brent Alan is an individual health care provider with primary practice located at 901 Bethesda Rd , Winston Salem NC 27103-3015. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Willard, Brent Alan can be contacted via phone (336) 768-2211.Contact Information
Primary practice address
901 Bethesda Rd
Winston Salem NC 27103-3015
Phone: (336) 768-2211
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 876 | North Carolina |
Profile Details
NPI number | 1104033133 |
---|---|
LBN Legal business name | Willard, Brent Alan |
Credentials | LPTA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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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