Willis, Daniel James

Willis, Daniel James is an individual health care provider with primary practice located at 85 Bryant Woods S , Amherst NY 14228-3604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Willis, Daniel James can be contacted via phone (716) 689-3333.

Contact Information

Primary practice address
85 Bryant Woods S Amherst NY 14228-3604
Phone: (716) 689-3333
Fax: (716) 689-9866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 171557 New York

Profile Details

NPI number 1245233006
LBN Legal business name Willis, Daniel James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 8th, 2007 - about 17 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 1245233006 NPPES
New York Other 146799 VALUE OPTIONS
New York Other 00010189801 VALUE OPTIONS
New York Other 000511191005 VALUE OPTIONS
New York Other 11124958 VALUE OPTIONS
New York MEDICAID 01077201 VALUE OPTIONS
New York Other 156808 VALUE OPTIONS

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