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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376592477 | NPPES |
| Nevada | MEDICAID | 1376592477 |
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