Willis, Jeffrey A
Willis, Jeffrey A is an individual health care provider with primary practice located at 10945 N Port Washington Rd Ste 201 , Mequon WI 53092-5078. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Willis, Jeffrey A can be contacted via phone (262) 292-3151.Contact Information
Primary practice address
10945 N Port Washington Rd Ste 201
Mequon WI 53092-5078
Phone: (262) 292-3151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1730 | Wisconsin |
Profile Details
| NPI number | 1558388520 |
|---|---|
| LBN Legal business name | Willis, Jeffrey A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Nov 17th, 2023 - about 2 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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