Willis, Stephen
Willis, Stephen is an individual health care provider with primary practice located at 1100 Wescott Dr Suite 201, Flemington NJ 08822-4673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Willis, Stephen can be contacted via phone (908) 788-4022.Contact Information
Primary practice address
1100 Wescott Dr Suite 201
Flemington NJ 08822-4673
Phone: (908) 788-4022
Fax: (908) 788-4066
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 25MA08845200 | New Jersey |
Profile Details
NPI number | 1629139076 |
---|---|
LBN Legal business name | Willis, Stephen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 12th, 2006 |
Last updated | Jun 18th, 2013 - about 12 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 | 1629139076 | NPPES |
New Jersey | MEDICAID | 0247138 |
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