Willis, Jeramy C.

Willis, Jeramy C. is an individual health care provider with primary practice located at 1945 Scottsville Rd B2 Pmb 397, Bowling Green KY 42104-3376. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Willis, Jeramy C. can be contacted via phone (270) 781-4828.

Contact Information

Primary practice address
1945 Scottsville Rd B2 Pmb 397 Bowling Green KY 42104-3376
Phone: (270) 781-4828
Fax: (270) 781-4828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X SA164 Kentucky

Profile Details

NPI number 1780867473
LBN Legal business name Willis, Jeramy C.
Credentials KCSA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2007
Last updated Dec 17th, 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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