Willis, Charlotte

Willis, Charlotte is an individual health care provider with primary practice located at 800 Marshall St # 653 , Little Rock AR 72202-3510. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Willis, Charlotte can be contacted via phone (501) 364-1100.

Contact Information

Primary practice address
800 Marshall St # 653 Little Rock AR 72202-3510
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X R-4486 Arkansas

Profile Details

NPI number 1619067279
LBN Legal business name Willis, Charlotte
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Aug 31st, 2010 - about 14 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 1619067279 NPPES
Arkansas MEDICAID 123464001

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