Willis, Bette Ellen
Willis, Bette Ellen is an sole proprietor health care provider with primary practice located at 108 N Kerr Ave Suite B-1, Wilmington NC 28405-3472. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Willis, Bette Ellen can be contacted via phone (910) 620-7227.Contact Information
Primary practice address
108 N Kerr Ave Suite B-1
Wilmington NC 28405-3472
Phone: (910) 620-7227
Fax: (866) 771-7963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C004714 | North Carolina |
Profile Details
| NPI number | 1649224742 |
|---|---|
| LBN Legal business name | Willis, Bette Ellen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1649224742 | NPPES |
| North Carolina | MEDICAID | 6003086 | |
| North Carolina | Other | 138NN |
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