Willard, Nathan Alexander
Willard, Nathan Alexander is an sole proprietor health care provider with primary practice located at 920 Town Centre Dr , Medford OR 97504-6100. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Willard, Nathan Alexander can be contacted via phone (541) 414-8488.Contact Information
Primary practice address
920 Town Centre Dr
Medford OR 97504-6100
Phone: (541) 414-8488
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X |
Profile Details
| NPI number | 1235493081 |
|---|---|
| LBN Legal business name | Willard, Nathan Alexander |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2012 |
| Last updated | Apr 14th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235493081 | NPPES |
| Oregon | MEDICAID | 50065834 |
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