Willert, Craig S

Willert, Craig S is an individual health care provider with primary practice located at 3496 Nw Federal Hwy Ste D, Jensen Beach FL 34957-4441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Willert, Craig S can be contacted via phone (772) 223-5612.

Contact Information

Primary practice address
3496 Nw Federal Hwy Ste D Jensen Beach FL 34957-4441
Phone: (772) 223-5612
Fax: (772) 223-5689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME46326 Florida

Profile Details

NPI number 1811905052
LBN Legal business name Willert, Craig S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Oct 13th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811905052 NPPES
Florida MEDICAID 041952400

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