Willis, William A

Willis, William A is an individual health care provider with primary practice located at 104 Wall St , Poteau OK 74953. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Willis, William A can be contacted via phone (918) 839-2159.

Contact Information

Primary practice address
104 Wall St Poteau OK 74953
Phone: (918) 839-2159
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 12280 Oklahoma

Profile Details

NPI number 1205875846
LBN Legal business name Willis, William A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jun 4th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205875846 NPPES
Oklahoma MEDICAID 100117220A

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