Willes, Dallin Douglas

Willes, Dallin Douglas is an individual health care provider with primary practice located at 1034 N 500 W , Provo UT 84604-3380. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as his primary health care specialty. Willes, Dallin Douglas can be contacted via phone (801) 357-7707.

Contact Information

Primary practice address
1034 N 500 W Provo UT 84604-3380
Phone: (801) 357-7707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 8281533-4405 Utah

Profile Details

NPI number 1104307198
LBN Legal business name Willes, Dallin Douglas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2018
Last updated Apr 12th, 2022 - about 2 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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