Willis, Janice Elaine

Willis, Janice Elaine is an sole proprietor health care provider with primary practice located at 111 19Th Ave , Moline IL 61265-3754. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Willis, Janice Elaine can be contacted via phone (309) 757-0300.

Contact Information

Primary practice address
111 19Th Ave Moline IL 61265-3754
Phone: (309) 757-0300
Fax: (309) 757-0400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.005363 Illinois

Profile Details

NPI number 1568645414
LBN Legal business name Willis, Janice Elaine
Credentials MS, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2007
Last updated Dec 14th, 2007 - about 18 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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