Willis, Joanne

Willis, Joanne is an individual health care provider with primary practice located at 9 Bear Street , Selden NY 11784-3803. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Willis, Joanne can be contacted via phone (631) 736-0535.

Contact Information

Primary practice address
9 Bear Street Selden NY 11784-3803
Phone: (631) 736-0535
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2742431 New York

Profile Details

NPI number 1700915352
LBN Legal business name Willis, Joanne
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1700915352 NPPES
New York MEDICAID 02556123

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