Willard, John R
Willard, John R is an sole proprietor health care provider with primary practice located at 14100 E Arapahoe Rd Suite 170, Centennial CO 80112-4028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Willard, John R can be contacted via phone (303) 699-3190.Contact Information
Primary practice address
14100 E Arapahoe Rd Suite 170
Centennial CO 80112-4028
Phone: (303) 699-3190
Fax: (303) 699-3189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 30373 | Colorado |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30373 | Colorado |
Profile Details
| NPI number | 1528124369 |
|---|---|
| LBN Legal business name | Willard, John R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Oct 22nd, 2020 - about 6 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 | 1528124369 | NPPES |
| Colorado | MEDICAID | 01303734 |
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