Willey, Sean Thomas
Willey, Sean Thomas is an individual health care provider with primary practice located at 8100 W 78Th St Suite 230, Edina MN 55439-2516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Willey, Sean Thomas can be contacted via phone (952) 946-9777.Contact Information
Primary practice address
8100 W 78Th St Suite 230
Edina MN 55439-2516
Phone: (952) 946-9777
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 54642 | Minnesota |
Profile Details
NPI number | 1346335684 |
---|---|
LBN Legal business name | Willey, Sean Thomas |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2006 |
Last updated | Mar 2nd, 2021 - about 3 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 | 1346335684 | NPPES |
Minnesota | Other | 250001056 | MEDICARE PTAN |
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