Willis, James E

Willis, James E is an individual health care provider with primary practice located at 19436 Howell Dr Suite A, Watertown NY 13601-6459. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Willis, James E can be contacted via phone (315) 786-2000.

Contact Information

Primary practice address
19436 Howell Dr Suite A Watertown NY 13601-6459
Fax: (315) 786-2899
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 1570511 New York

Profile Details

NPI number 1952389090
LBN Legal business name Willis, James E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated May 6th, 2024 - about 7 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952389090 NPPES
New York MEDICAID 0071292

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