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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1528062015 NPPES
Virginia MEDICAID 006352278

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