Willis, Kevin
Willis, Kevin is an individual health care provider with primary practice located at 99 Highway 37 , Toms River NJ 08755-6423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Willis, Kevin can be contacted via phone (732) 557-8051.Contact Information
Primary practice address
99 Highway 37
Toms River NJ 08755-6423
Phone: (732) 557-8051
Fax: (732) 557-2064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA07932100 | New Jersey |
Profile Details
| NPI number | 1174510937 |
|---|---|
| LBN Legal business name | Willis, Kevin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Nov 21st, 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 | 1174510937 | NPPES |
| New Jersey | Other | CF1652 | RAILROAD MEDICARE |
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