Willis, William Allen
Willis, William Allen is an individual health care provider with primary practice located at 2850 Village Dr Suite 103, Fayetteville NC 28304-3864. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Willis, William Allen can be contacted via phone (910) 223-9801.Contact Information
Primary practice address
2850 Village Dr Suite 103
Fayetteville NC 28304-3864
Phone: (910) 223-9801
Fax: (910) 223-9819
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 22449 | North Carolina |
Profile Details
NPI number | 1033179478 |
---|---|
LBN Legal business name | Willis, William Allen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2006 |
Last updated | Jun 6th, 2012 - 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 | 1033179478 | NPPES |
North Carolina | MEDICAID | 89-88133 |
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