Willis, Laron D
Willis, Laron D is an sole proprietor health care provider with primary practice located at 5003 Colonial Park Dr Apt D , South Charleston WV 25309-2049. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Willis, Laron D can be contacted via phone (681) 945-7421.Contact Information
Primary practice address
5003 Colonial Park Dr Apt D
South Charleston WV 25309-2049
Phone: (681) 945-7421
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1730772237 |
|---|---|
| LBN Legal business name | Willis, Laron D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2021 |
| Last updated | Feb 16th, 2021 - about 3 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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