Willis, William Arthur

Willis, William Arthur is an individual health care provider with primary practice located at 708 W Forest Ave , Jackson TN 38301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Willis, William Arthur can be contacted via phone (731) 660-8759.

Contact Information

Primary practice address
708 W Forest Ave Jackson TN 38301
Phone: (731) 660-8759
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD26833 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1029454331 Tennessee

Profile Details

NPI number 1518946946
LBN Legal business name Willis, William Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Jul 24th, 2018 - about 6 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 1518946946 NPPES
Tennessee MEDICAID 3800078
Tennessee Other 3069642

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