Boice-Willis Clinic, Pa

LBN: Boice-Willis Clinic, Pa
Boice-Willis Clinic, Pa is an health care organization with primary practice located at 901 N Winstead Ave , Rocky Mount NC 27804-8467. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Boice-Willis Clinic, Pa can be contacted via phone (252) 937-0200, or through Fazio, Gary via phone (252) 937-0200.

Contact Information

Primary practice address
901 N Winstead Ave Rocky Mount NC 27804-8467
Phone: (252) 937-0200
Fax: (252) 443-0096
Website:
Map and Directions
Authorized official contact:
Name: Fazio, Gary
Phone: (252) 937-0200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 38821 North Carolina

Profile Details

NPI number 1952557241
LBN Legal business name Boice-Willis Clinic, Pa
DBA Doing business as
Authorized official Fazio, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2008
Last updated Oct 4th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952557241 NPPES
North Carolina MEDICAID 7211225

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