Willis, Chad
Willis, Chad is an sole proprietor health care provider with primary practice located at 825 2Nd Ave Ste C2 , Bowling Green KY 42101-1791. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Willis, Chad can be contacted via phone (270) 780-2780.Contact Information
Primary practice address
825 2Nd Ave Ste C2
Bowling Green KY 42101-1791
Phone: (270) 780-2780
Fax: (270) 780-2755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 42665 | Alabama |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 56988 | Kentucky |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 56988 | Kentucky |
Profile Details
| NPI number | 1184087959 |
|---|---|
| LBN Legal business name | Willis, Chad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2016 |
| Last updated | Aug 31st, 2022 - about 4 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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