Willard, Deborah A
Willard, Deborah A is an individual health care provider with primary practice located at 700 Village Dr , Fairmont WV 26554-7985. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Willard, Deborah A can be contacted via phone (304) 366-2600.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 11984 | West Virginia |
Profile Details
NPI number | 1043219009 |
---|---|
LBN Legal business name | Willard, Deborah A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 20th, 2005 |
Last updated | Jul 19th, 2007 - about 17 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 | 1043219009 | NPPES |
West Virginia | MEDICAID | 0123357000 |
Popular Providers
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Thrush, Walter P
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Lopez, Gerardo M
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Migaiolo, Joseph R
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Hetzer, Timothy B
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700 Village Dr , Fairmont WV 26554-7985