Willis, Sheryl L
Willis, Sheryl L is an individual health care provider with primary practice located at 401 W Campbell Rd , Richardson TX 75080-3416. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Willis, Sheryl L can be contacted via phone (972) 498-4724.Contact Information
Primary practice address
401 W Campbell Rd
Richardson TX 75080-3416
Phone: (972) 498-4724
Fax: (972) 498-4836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | J5516 | Texas |
Profile Details
| NPI number | 1801876636 |
|---|---|
| LBN Legal business name | Willis, Sheryl L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Aug 27th, 2010 - about 14 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 | 1801876636 | NPPES |
| Texas | MEDICAID | 129407606 | |
| Texas | MEDICAID | 129407607 | |
| Texas | MEDICAID | 129407608 |
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