Willis, Scott A
Willis, Scott A is an individual health care provider with primary practice located at 422 N Main St , Warsaw NY 14569-1023. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Willis, Scott A can be contacted via phone (585) 786-8133.Contact Information
Primary practice address
422 N Main St
Warsaw NY 14569-1023
Phone: (585) 786-8133
Fax: (585) 786-9928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1952579716 |
|---|---|
| LBN Legal business name | Willis, Scott A |
| Credentials | Associate in Applied Science (AAS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2008 |
| Last updated | Feb 14th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952579716 | NPPES |
| New York | MEDICAID | 00740423 |
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