Willis, John A
Willis, John A is an individual health care provider with primary practice located at 130 N Street Ext , Hyannis MA 02601-3825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Willis, John A can be contacted via phone (508) 775-8282.Contact Information
Primary practice address
130 N Street Ext
Hyannis MA 02601-3825
Phone: (508) 775-8282
Fax: (508) 771-1496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 160529 | Massachusetts |
Profile Details
| NPI number | 1548253172 |
|---|---|
| LBN Legal business name | Willis, John A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548253172 | NPPES |
| Massachusetts | MEDICAID | 9773983 | |
| Massachusetts | Other | 2431064 | |
| Massachusetts | Other | 160529 | |
| Massachusetts | Other | 5061233001 | |
| Massachusetts | Other | J21143 | |
| Massachusetts | Other | 0900676 | |
| Massachusetts | MEDICAID | 2065118 | |
| Massachusetts | Other | 68934 |
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