Willis, Gregory S
Willis, Gregory S is an individual health care provider with primary practice located at 1703 Innovation Dr Ste 2001 , York PA 17408-8815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Willis, Gregory S can be contacted via phone (717) 801-0739.Contact Information
Primary practice address
1703 Innovation Dr Ste 2001
York PA 17408-8815
Phone: (717) 801-0739
Fax: (717) 801-0645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | OS009400L | Pennsylvania |
Profile Details
| NPI number | 1184605677 |
|---|---|
| LBN Legal business name | Willis, Gregory S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Jan 23rd, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184605677 | NPPES |
| Pennsylvania | MEDICAID | 001722360 |
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