Willis, Heather Lynn

Willis, Heather Lynn is an sole proprietor health care provider with primary practice located at 1202 North Center Street , Hickory NC 28601-3760. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Willis, Heather Lynn can be contacted via phone (828) 322-4340.

Contact Information

Primary practice address
1202 North Center Street Hickory NC 28601-3760
Phone: (828) 322-4340
Fax: (828) 323-8450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 201400625 North Carolina

Profile Details

NPI number 1235383381
LBN Legal business name Willis, Heather Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2008
Last updated Jul 31st, 2014 - about 12 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 1235383381 NPPES
North Carolina MEDICAID 201400625

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