Willis, Marc Harold
Willis, Marc Harold is an individual health care provider with primary practice located at 300 Pasteur Dr , Stanford CA 94305-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Willis, Marc Harold can be contacted via phone (650) 723-4000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | L4809 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 20A17737 | California |
Profile Details
| NPI number | 1255494969 |
|---|---|
| LBN Legal business name | Willis, Marc Harold |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Apr 5th, 2024 - about 8 months 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 | 1255494969 | NPPES |
| Texas | Other | 8BT621 | BCBS |
| Texas | MEDICAID | 194794707 | BCBS |
| Texas | MEDICAID | 194794705 | BCBS |
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