Nettles, Willard

Nettles, Willard is an individual health care provider with primary practice located at 3807 Spring St , Racine WI 53405-1667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Nettles, Willard can be contacted via phone (262) 687-8282.

Contact Information

Primary practice address
3807 Spring St Racine WI 53405-1667
Phone: (262) 687-8282
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24588 Wisconsin

Profile Details

NPI number 1346264470
LBN Legal business name Nettles, Willard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 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.

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