Willard, Jillian C

Willard, Jillian C is an individual health care provider with primary practice located at 6633 Fairview Rd , Charlotte NC 28210-3321. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Willard, Jillian C can be contacted via phone (704) 366-1264.

Contact Information

Primary practice address
6633 Fairview Rd Charlotte NC 28210-3321
Phone: (704) 366-1264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1790366763
LBN Legal business name Willard, Jillian C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2021
Last updated Apr 20th, 2021 - 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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