Willoughby, John W.

Willoughby, John W. is an individual health care provider with primary practice located at 2501 Coolidge Rd Suite 201, East Lansing MI 48823-6352. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Willoughby, John W. can be contacted via phone (517) 351-0800.

Contact Information

Primary practice address
2501 Coolidge Rd Suite 201 East Lansing MI 48823-6352
Phone: (517) 351-0800
Fax: (517) 351-3399
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 2901010047 Michigan

Profile Details

NPI number 1316067002
LBN Legal business name Willoughby, John W.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 2007 - about 17 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 1316067002 NPPES
Michigan Other 1953360060 BCBS MEDICAL PIN #
Michigan Other 2901010047 BCBS MEDICAL PIN #

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