Heath, Harley Willis
Heath, Harley Willis is an individual health care provider with primary practice located at 240 S Main St Medical Arts Bldg Ste C, Wolfeboro NH 03894. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Heath, Harley Willis can be contacted via phone (603) 569-7620.Contact Information
Primary practice address
240 S Main St Medical Arts Bldg Ste C
Wolfeboro NH 03894
Phone: (603) 569-7620
Fax: (603) 569-7619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10485 | New Hampshire |
Profile Details
| NPI number | 1447203666 |
|---|---|
| LBN Legal business name | Heath, Harley Willis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Apr 15th, 2021 - 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 | 1447203666 | NPPES |
| New Hampshire | MEDICAID | 30011693 |
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