Willis, Robert
Willis, Robert is an individual health care provider with primary practice located at 3425 Merlin Dr Suite 200, Idaho Falls ID 83404-7430. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Willis, Robert can be contacted via phone (208) 528-6653.Contact Information
Primary practice address
3425 Merlin Dr Suite 200
Idaho Falls ID 83404-7430
Phone: (208) 528-6653
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-456 | Idaho |
Profile Details
| NPI number | 1235331802 |
|---|---|
| LBN Legal business name | Willis, Robert |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2007 |
| Last updated | Mar 4th, 2015 - about 10 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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