Willett, Dwight H

Willett, Dwight H is an individual health care provider with primary practice located at 820 W Race St , Kingston TN 37763-2120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Willett, Dwight H can be contacted via phone (865) 376-3406.

Contact Information

Primary practice address
820 W Race St Kingston TN 37763-2120
Phone: (865) 376-3406
Fax: (865) 376-9091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD010763 Tennessee

Profile Details

NPI number 1598746554
LBN Legal business name Willett, Dwight H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Apr 27th, 2023 - about 3 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 1598746554 NPPES
Tennessee MEDICAID 3173428
Tennessee MEDICAID Q021922
Tennessee Other 17855

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