Willis, Philip Edward

Willis, Philip Edward is an individual health care provider with primary practice located at 1805 27Th St , Portsmouth OH 45662-2640. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Willis, Philip Edward can be contacted via phone (740) 356-8231.

Contact Information

Primary practice address
1805 27Th St Portsmouth OH 45662-2640
Phone: (740) 356-8231
Fax: (740) 356-3686
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3117A Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN.CRNA.06745 Ohio

Profile Details

NPI number 1457331670
LBN Legal business name Willis, Philip Edward
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Dec 16th, 2020 - about 4 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 1457331670 NPPES
Ohio MEDICAID 2213410
Ohio MEDICAID 74002312

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