Willis, Justin Allan
Willis, Justin Allan is an sole proprietor health care provider with primary practice located at 8353 Iris Ave , Seminole FL 33777-3643. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Willis, Justin Allan can be contacted via phone (727) 288-4516.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Independent Duty Corpsman | 1710I1002X | W4204214450 | Florida |
Profile Details
NPI number | 1619420536 |
---|---|
LBN Legal business name | Willis, Justin Allan |
Credentials | IDC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 27th, 2016 |
Last updated | Jul 27th, 2016 - about 8 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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