Willoughby, Alexander
Willoughby, Alexander is an individual health care provider with primary practice located at 341 Nw Medical Loop Ste 120 , Roseburg OR 97471-5546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Willoughby, Alexander can be contacted via phone (541) 440-6388.Contact Information
Primary practice address
341 Nw Medical Loop Ste 120
Roseburg OR 97471-5546
Phone: (541) 440-6388
Fax: (541) 672-0665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD196566 | Oregon |
Profile Details
| NPI number | 1093166191 |
|---|---|
| LBN Legal business name | Willoughby, Alexander |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2016 |
| Last updated | Jul 22nd, 2020 - about 5 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 | 1093166191 | NPPES |
| Oregon | Other | MD196566 | STATE MEDICAL LICENSE |
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