Willis, Devin R

Willis, Devin R is an individual health care provider with primary practice located at 16555 Manchester Rd Ste 100 , Wildwood MO 63040. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Willis, Devin R can be contacted via phone (636) 458-0646.

Contact Information

Primary practice address
16555 Manchester Rd Ste 100 Wildwood MO 63040
Phone: (636) 458-0646
Fax: (636) 458-5008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2016023372 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2016023372 Missouri

Profile Details

NPI number 1295175057
LBN Legal business name Willis, Devin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2013
Last updated Nov 10th, 2022 - about 3 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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