Willis, Bradley

Willis, Bradley is an sole proprietor health care provider with primary practice located at 105 N Main St , Athens IL 62613-8901. He recently has only one registered license in Other Service Providers / Veterinarian, which is considered as his primary health care specialty. Willis, Bradley can be contacted via phone (217) 636-7388.

Contact Information

Primary practice address
105 N Main St Athens IL 62613-8901
Phone: (217) 636-7388
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Veterinarian 174M00000X 090008708 Illinois

Profile Details

NPI number 1922419605
LBN Legal business name Willis, Bradley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2014
Last updated May 15th, 2014 - 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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