Willis, Dean Norman
Willis, Dean Norman is an individual health care provider with primary practice located at 50 Fair Harbour Pl Suite 2-C, New London CT 06320-4731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Willis, Dean Norman can be contacted via phone (860) 443-3147.Contact Information
Primary practice address
50 Fair Harbour Pl Suite 2-C
New London CT 06320-4731
Phone: (860) 443-3147
Fax: (860) 443-0087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 22374 | Connecticut |
Profile Details
| NPI number | 1598859746 |
|---|---|
| LBN Legal business name | Willis, Dean Norman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Feb 3rd, 2010 - about 16 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 | 1598859746 | NPPES |
| Connecticut | MEDICAID | 001223742 |
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