Willes, Richard Jonathan

Willes, Richard Jonathan is an individual health care provider with primary practice located at 3006 S Maryland Pkwy Ste 690 , Las Vegas NV 89109-2297. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Willes, Richard Jonathan can be contacted via phone (702) 990-4819.

Contact Information

Primary practice address
3006 S Maryland Pkwy Ste 690 Las Vegas NV 89109-2297
Phone: (702) 990-4819
Fax: (702) 260-1926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 62462 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 17105 Nevada

Profile Details

NPI number 1821384264
LBN Legal business name Willes, Richard Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2011
Last updated Jul 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821384264 NPPES
Wisconsin MEDICAID 1821384264

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