Willis, Chad D
Willis, Chad D is an individual health care provider with primary practice located at 3214 Kethley Rd , Shawnee OK 74804-9625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is his primary health care specialty. Willis, Chad D can be contacted via phone (405) 273-5801.Contact Information
Primary practice address
3214 Kethley Rd
Shawnee OK 74804-9625
Phone: (405) 273-5801
Fax: (405) 878-3794
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2006033639 | Missouri |
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | 4875 | Oklahoma |
Profile Details
NPI number | 1750432043 |
---|---|
LBN Legal business name | Willis, Chad D |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 15th, 2007 |
Last updated | Nov 11th, 2016 - about 9 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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