Willis, Garth J.
Willis, Garth J. is an sole proprietor health care provider with primary practice located at 300 Plaza Ct Suite A, East Stroudsburg PA 18301-8260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Willis, Garth J. can be contacted via phone (570) 421-8842.Contact Information
Primary practice address
300 Plaza Ct Suite A
East Stroudsburg PA 18301-8260
Phone: (570) 421-8842
Fax: (570) 476-5842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MT186286 | Pennsylvania |
Profile Details
| NPI number | 1164639175 |
|---|---|
| LBN Legal business name | Willis, Garth J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2007 |
| Last updated | Dec 6th, 2013 - about 13 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 | 1164639175 | NPPES |
| Pennsylvania | MEDICAID | 1023014720001 |
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