Willis, Paul L.

Willis, Paul L. is an individual health care provider with primary practice located at 40 Wright St , Palmer MA 01069-1138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Willis, Paul L. can be contacted via phone (413) 283-7651.

Contact Information

Primary practice address
40 Wright St Palmer MA 01069-1138
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 151956 Massachusetts

Profile Details

NPI number 1184614703
LBN Legal business name Willis, Paul L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Sep 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184614703 NPPES
Massachusetts MEDICAID 110058602A

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