Willoughby, Michael L
Willoughby, Michael L is an individual health care provider with primary practice located at 316 Calhoun St , Charleston SC 29401-1113. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Willoughby, Michael L can be contacted via phone (843) 606-7810.Contact Information
Primary practice address
316 Calhoun St
Charleston SC 29401-1113
Phone: (843) 606-7810
Fax: (843) 606-8088
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 021612 | Georgia |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 39016 | South Carolina |
Profile Details
NPI number | 1295789733 |
---|---|
LBN Legal business name | Willoughby, Michael L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 20th, 2006 |
Last updated | Jan 31st, 2019 - 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 | 1295789733 | NPPES |
South Carolina | MEDICAID | G21612 |
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