Willis, Daniel Nathan

Willis, Daniel Nathan is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Hematology And Onc, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Willis, Daniel Nathan can be contacted via phone (314) 454-6018.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Hematology And Onc Saint Louis MO 63110-1002
Phone: (314) 454-6018
Fax: (844) 621-4392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2016012329 Missouri
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 2016012329 Missouri

Profile Details

NPI number 1669812053
LBN Legal business name Willis, Daniel Nathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2013
Last updated Apr 25th, 2024 - about last year

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 1669812053 NPPES
Missouri MEDICAID 200062110

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