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
Fax: (805) 549-0465
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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