Willis, Daniel Lamar
Willis, Daniel Lamar is an sole proprietor health care provider with primary practice located at 325 Posada Ln A-C, Templeton CA 93465-4003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Willis, Daniel Lamar can be contacted via phone (805) 542-6700.Contact Information
Primary practice address
325 Posada Ln A-C
Templeton CA 93465-4003
Phone: (805) 542-6700
Fax: (805) 549-0465
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A102873 | California |
Profile Details
NPI number | 1699946376 |
---|---|
LBN Legal business name | Willis, Daniel Lamar |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 20th, 2008 |
Last updated | Jun 15th, 2015 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699946376 | NPPES |
California | Other | W1508A | CHCCC, TEMPLETON NPI# 1275550295 GROUP PTAN# |
California | MEDICAID | FHC70936F | CHCCC, TEMPLETON NPI# 1275550295 GROUP PTAN# |
California | Other | W1508 | CHCCC, TEMPLETON NPI# 1275550295 GROUP PTAN# |
California | Other | W1508E | CHCCC, TEMPLETON NPI# 1275550295 GROUP PTAN# |
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