Willis, Jacob

Willis, Jacob is an individual health care provider with primary practice located at 445 Centennial Ave , Butte MT 59701-2870. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Willis, Jacob can be contacted via phone (406) 723-4075.

Contact Information

Primary practice address
445 Centennial Ave Butte MT 59701-2870
Phone: (406) 723-4075
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NUR-APRN-LIC-157870 Montana

Profile Details

NPI number 1437782810
LBN Legal business name Willis, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2020
Last updated Mar 28th, 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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