Willis, Amos J
Willis, Amos J is an sole proprietor health care provider with primary practice located at 112 West Woodhill Drive , Nags Head NC 27959-2795. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Willis, Amos J can be contacted via phone (252) 261-8778.Contact Information
Primary practice address
112 West Woodhill Drive
Nags Head NC 27959-2795
Phone: (252) 261-8778
Fax: (252) 715-3446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01010249 | Virginia |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 2015-00049 | North Carolina |
Profile Details
| NPI number | 1528062015 |
|---|---|
| LBN Legal business name | Willis, Amos J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Mar 16th, 2020 - about 4 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 | 1528062015 | NPPES |
| Virginia | MEDICAID | 006352278 |
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