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

Primary practice address
8353 Iris Ave Seminole FL 33777-3643
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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