Willis, Jason J

Willis, Jason J is an sole proprietor health care provider with primary practice located at 6260 Delaware St , Beaumont TX 77706-7602. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Willis, Jason J can be contacted via phone (409) 899-1538.

Contact Information

Primary practice address
6260 Delaware St Beaumont TX 77706-7602
Phone: (409) 899-1538
Fax: (409) 899-2120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 2008018676 Missouri
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1988 Texas

Profile Details

NPI number 1205091410
LBN Legal business name Willis, Jason J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2008
Last updated Sep 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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