Willis, Karin

Willis, Karin is an individual health care provider with primary practice located at 701 E Rosser Ave , Bismarck ND 58501-4461. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Willis, Karin can be contacted via phone (701) 751-9500.

Contact Information

Primary practice address
701 E Rosser Ave Bismarck ND 58501-4461
Phone: (701) 751-9500
Fax: (701) 751-9508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10638 North Dakota
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 10638 North Dakota

Profile Details

NPI number 1881873776
LBN Legal business name Willis, Karin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Sep 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881873776 NPPES
North Dakota MEDICAID 1455094

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