Willis, Carl Rogaston

Willis, Carl Rogaston is an individual health care provider with primary practice located at 2004 Hayes St Suite 720, Nashville TN 37203-2646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Willis, Carl Rogaston can be contacted via phone (615) 284-2310.

Contact Information

Primary practice address
2004 Hayes St Suite 720 Nashville TN 37203-2646
Phone: (615) 284-2310
Fax: (615) 284-2385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 037952 Tennessee

Profile Details

NPI number 1154376259
LBN Legal business name Willis, Carl Rogaston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Mar 22nd, 2017 - about 9 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 1154376259 NPPES
Tennessee Other 4090607 BCBS OF TN IND PROVIDER #
Tennessee MEDICAID 3894844 BCBS OF TN IND PROVIDER #

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