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
Fax: (910) 223-9819
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033179478 NPPES
North Carolina MEDICAID 89-88133

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