Willis, Brandon M

Willis, Brandon M is an individual health care provider with primary practice located at 197 East Cerritos Street , Rialto CA 92376. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Willis, Brandon M can be contacted via phone (909) 820-4973.

Contact Information

Primary practice address
197 East Cerritos Street Rialto CA 92376
Phone: (909) 820-4973
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10037 California

Profile Details

NPI number 1336489632
LBN Legal business name Willis, Brandon M
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2013
Last updated Feb 22nd, 2013 - about 11 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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