Reese Willis, Celeste

Reese Willis, Celeste is an sole proprietor health care provider with primary practice located at 401 Tuscaloosa Ave Sw Ste 210 , Birmingham AL 35211-1486. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Reese Willis, Celeste can be contacted via phone (205) 291-8842.

Contact Information

Primary practice address
401 Tuscaloosa Ave Sw Ste 210 Birmingham AL 35211-1486
Phone: (205) 291-8842
Fax: (205) 235-9592
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26026 Alabama

Profile Details

NPI number 1104893809
LBN Legal business name Reese Willis, Celeste
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2006
Last updated Mar 2nd, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104893809 NPPES
Other 167582201 FEDERAL BLACK LUNG
Other 51536439 FEDERAL BLACK LUNG
Other 783802 FEDERAL BLACK LUNG
MEDICAID 009938946 FEDERAL BLACK LUNG
Other 631053058026 FEDERAL BLACK LUNG
Other I16326 FEDERAL BLACK LUNG

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