Willis, Daniel Levi
Willis, Daniel Levi is an individual health care provider with primary practice located at 2090 Ne Wyatt Ct Ste 101 , Bend OR 97701-7691. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Willis, Daniel Levi can be contacted via phone (541) 382-6447.Contact Information
Primary practice address
2090 Ne Wyatt Ct Ste 101
Bend OR 97701-7691
Phone: (541) 382-6447
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | P3486 | Texas |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | TRN10996 | Florida |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD208021 | Oregon |
Profile Details
| NPI number | 1023211547 |
|---|---|
| LBN Legal business name | Willis, Daniel Levi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2007 |
| Last updated | Jan 24th, 2022 - about 2 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 | 1023211547 | NPPES |
| Texas | MEDICAID | 311365601 | |
| Texas | Other | 8DQ392 |
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