Willis, Patricia

Willis, Patricia is an sole proprietor health care provider with primary practice located at 541 N Lewis , Mesa AZ 85201-5910. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Willis, Patricia can be contacted via phone (480) 593-3803.

Contact Information

Primary practice address
541 N Lewis Mesa AZ 85201-5910
Phone: (480) 593-3803
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X 9482 Arizona

Profile Details

NPI number 1811062359
LBN Legal business name Willis, Patricia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1811062359 NPPES
Arizona Other 916182 AHCCCS ID NUMBER

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