Willard, Kirk Ellsworth

Willard, Kirk Ellsworth is an individual health care provider with primary practice located at 380 Chase Ave Orthopaedics, Walla Walla WA 99362-2924. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Willard, Kirk Ellsworth can be contacted via phone (509) 522-5820.

Contact Information

Primary practice address
380 Chase Ave Orthopaedics Walla Walla WA 99362-2924
Phone: (509) 522-5820
Fax: (509) 522-5570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00037859 Washington

Profile Details

NPI number 1669486072
LBN Legal business name Willard, Kirk Ellsworth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Apr 29th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669486072 NPPES
Oregon MEDICAID 134448
Oregon MEDICAID 1669486072

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