Willis, Alliric I.

Willis, Alliric I. is an individual health care provider with primary practice located at 1100 Walnut St Suite 500, Philadelphia PA 19107-5563. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Willis, Alliric I. can be contacted via phone (215) 955-6750.

Contact Information

Primary practice address
1100 Walnut St Suite 500 Philadelphia PA 19107-5563
Phone: (215) 955-6750
Fax: (215) 823-8222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X MD424463 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X MD424463 Pennsylvania

Profile Details

NPI number 1366475287
LBN Legal business name Willis, Alliric I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 17th, 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 1366475287 NPPES
Pennsylvania Other P00385401 RAILROAD MEDICARE
Pennsylvania Other 1621481 RAILROAD MEDICARE
Pennsylvania Other 2298641000 RAILROAD MEDICARE
Pennsylvania Other 1621481 RAILROAD MEDICARE
Pennsylvania Other 30032812 RAILROAD MEDICARE
Pennsylvania MEDICAID 1016680610001 RAILROAD MEDICARE
Pennsylvania MEDICAID 1016680610004 RAILROAD MEDICARE
Pennsylvania Other 35488 RAILROAD MEDICARE
Pennsylvania Other 5810126 RAILROAD MEDICARE

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