Willett, Patrick Alen
Willett, Patrick Alen is an individual health care provider with primary practice located at 4215 Burns Rd Ste 100 , Palm Beach Gardens FL 33410-4627. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Willett, Patrick Alen can be contacted via phone (561) 694-7776.Contact Information
Primary practice address
4215 Burns Rd Ste 100
Palm Beach Gardens FL 33410-4627
Phone: (561) 694-7776
Fax: (561) 694-3099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA 9107033 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9107033 | Florida |
Profile Details
| NPI number | 1598002461 |
|---|---|
| LBN Legal business name | Willett, Patrick Alen |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2013 |
| Last updated | Sep 16th, 2019 - about 7 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 | 1598002461 | NPPES |
| Florida | MEDICAID | 008194300 | |
| Florida | Other | GZ917Z |
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