Willis, Glenn

Willis, Glenn is an individual health care provider with primary practice located at 706 N Brown St , Clarksville AR 72830-2732. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Willis, Glenn can be contacted via phone (479) 705-1301.

Contact Information

Primary practice address
706 N Brown St Clarksville AR 72830-2732
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Arkansas

Profile Details

NPI number 1164635348
LBN Legal business name Willis, Glenn
Credentials RECOVERY ADVOCATE
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jun 20th, 2011 - about 14 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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