Willis, Jeremy

Willis, Jeremy is an individual health care provider with primary practice located at 3329 University Ave Se , Minneapolis MN 55414-3325. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Willis, Jeremy can be contacted via phone (612) 454-2273.

Contact Information

Primary practice address
3329 University Ave Se Minneapolis MN 55414-3325
Phone: (612) 454-2273
Fax: (612) 454-2340
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302490 Minnesota

Profile Details

NPI number 1770873549
LBN Legal business name Willis, Jeremy
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2011
Last updated Apr 14th, 2011 - about 14 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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