Willis, Ivy L

Willis, Ivy L is an sole proprietor health care provider with primary practice located at 4266 Monticello Blvd , South Euclid OH 44121-2815. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Willis, Ivy L can be contacted via phone (216) 385-7770.

Contact Information

Primary practice address
4266 Monticello Blvd South Euclid OH 44121-2815
Phone: (216) 385-7770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1407410178
LBN Legal business name Willis, Ivy L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2019
Last updated Apr 27th, 2019 - about 5 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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