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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346335684 NPPES
Minnesota Other 250001056 MEDICARE PTAN

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