Willis, Susan E
Willis, Susan E is an individual health care provider with primary practice located at 4000 Jennings Station Rd , Saint Louis MO 63121-3323. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Willis, Susan E can be contacted via phone (314) 679-7826.Contact Information
Primary practice address
4000 Jennings Station Rd
Saint Louis MO 63121-3323
Phone: (314) 679-7826
Fax: (314) 679-7876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | 069751 | Missouri |
Profile Details
| NPI number | 1346304557 |
|---|---|
| LBN Legal business name | Willis, Susan E |
| Credentials | RN, BSN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1346304557 | NPPES |
| Missouri | Other | 06751 | RN LICENCE |
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