Willoughby, Walter J

Willoughby, Walter J is an sole proprietor health care provider with primary practice located at 10105 Banburry Cross Dr Ste 355, Las Vegas NV 89144-6646. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Willoughby, Walter J can be contacted via phone (702) 998-1400.

Contact Information

Primary practice address
10105 Banburry Cross Dr Ste 355 Las Vegas NV 89144-6646
Phone: (702) 998-1400
Fax: (702) 998-1333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 4004 Nevada
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4004 Nevada
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 4004 Nevada

Profile Details

NPI number 1376592477
LBN Legal business name Willoughby, Walter J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Aug 28th, 2013 - about 11 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 1376592477 NPPES
Nevada MEDICAID 1376592477

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