Willey, Jay D.
Willey, Jay D. is an individual health care provider with primary practice located at 3250 Gordonville Rd Suite 301, Cape Girardeau MO 63703-5056. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Willey, Jay D. can be contacted via phone (573) 334-9641.Contact Information
Primary practice address
3250 Gordonville Rd Suite 301
Cape Girardeau MO 63703-5056
Phone: (573) 334-9641
Fax: (573) 331-3130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2010018448 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2010018448 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036076854 | Illinois |
Profile Details
| NPI number | 1891714531 |
|---|---|
| LBN Legal business name | Willey, Jay D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | May 9th, 2011 - about 13 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 | 1891714531 | NPPES |
| Illinois | MEDICAID | 036076854 | |
| Illinois | Other | 1891714531 | |
| Illinois | Other | 247460 | |
| Illinois | MEDICAID | 1891714531 |
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