Willis, James R

Willis, James R is an individual health care provider with primary practice located at 16 Woodbine Lane , Danville PA 17822-8029. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Willis, James R can be contacted via phone (570) 271-8050.

Contact Information

Primary practice address
16 Woodbine Lane Danville PA 17822-8029
Phone: (570) 271-8050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X M7012 Idaho
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X M7012 Idaho
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X M7012 Idaho
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD054641L Pennsylvania

Profile Details

NPI number 1407800501
LBN Legal business name Willis, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Aug 10th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407800501 NPPES
Idaho MEDICAID 000278700

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