Willett, Glenn R.
Willett, Glenn R. is an individual health care provider with primary practice located at 101 Medical Park Dr , Mebane NC 27302-7639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Willett, Glenn R. can be contacted via phone (919) 563-2500.Contact Information
Primary practice address
101 Medical Park Dr
Mebane NC 27302-7639
Phone: (919) 563-2500
Fax: (919) 563-3535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 95-00476 | North Carolina |
Profile Details
| NPI number | 1063432912 |
|---|---|
| LBN Legal business name | Willett, Glenn R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jun 28th, 2013 - about 13 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 | 1063432912 | NPPES |
| North Carolina | MEDICAID | 8987638 |
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