Willis, Sadie

Willis, Sadie is an individual health care provider with primary practice located at 121 Downey Ave , Modesto CA 95354-1208. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Technician, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Willis, Sadie can be contacted via phone (209) 341-1824.

Contact Information

Primary practice address
121 Downey Ave Modesto CA 95354-1208
Phone: (209) 341-1824
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1619645991
LBN Legal business name Willis, Sadie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2021
Last updated May 13th, 2024 - about 7 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.

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