Hill, Willie James
Hill, Willie James is an sole proprietor health care provider with primary practice located at 514 East Woodrow Wilson Ave Suite F, Jackson MS 39216-4505. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is his primary health care specialty. Hill, Willie James can be contacted via phone (601) 982-3132.Contact Information
Primary practice address
514 East Woodrow Wilson Ave Suite F
Jackson MS 39216-4505
Phone: (601) 982-3132
Fax: (601) 982-3136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1837-79 | Mississippi |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | OS-24-79 | Mississippi |
Profile Details
| NPI number | 1366537623 |
|---|---|
| LBN Legal business name | Hill, Willie James |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1366537623 | NPPES |
| Mississippi | MEDICAID | 00064716 |
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