Willette, Paul Michael

Willette, Paul Michael is an individual health care provider with primary practice located at 300 Wilson St , Clayton NM 88415-3304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Willette, Paul Michael can be contacted via phone (575) 374-0021.

Contact Information

Primary practice address
300 Wilson St Clayton NM 88415-3304
Phone: (575) 374-0021
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 12443 New Hampshire

Profile Details

NPI number 1376532424
LBN Legal business name Willette, Paul Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jan 22nd, 2015 - about 10 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 1376532424 NPPES
New Hampshire MEDICAID 30204277

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