Willey, David Allen

Willey, David Allen is an individual health care provider with primary practice located at 1200 Chaska Creek Way Suite 200, Chaska MN 55318-2152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Willey, David Allen can be contacted via phone (952) 448-3303.

Contact Information

Primary practice address
1200 Chaska Creek Way Suite 200 Chaska MN 55318-2152
Fax: (952) 448-4409
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23682 Minnesota

Profile Details

NPI number 1043207681
LBN Legal business name Willey, David Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Jan 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043207681 NPPES
Minnesota MEDICAID 174568900

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