Willis, John A.
Willis, John A. is an individual health care provider with primary practice located at 1538 Kanawha Blvd E , Charleston WV 25311-2435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Willis, John A. can be contacted via phone (304) 344-3457.Contact Information
Primary practice address
1538 Kanawha Blvd E
Charleston WV 25311-2435
Phone: (304) 344-3457
Fax: (304) 344-3480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 15995 | West Virginia |
Profile Details
| NPI number | 1437153939 |
|---|---|
| LBN Legal business name | Willis, John A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Aug 12th, 2024 - about 2 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 | 1437153939 | NPPES |
| West Virginia | MEDICAID | 550516458 | |
| West Virginia | MEDICAID | 64942089 | |
| West Virginia | MEDICAID | 0828199 | |
| West Virginia | MEDICAID | 0120054000 | |
| West Virginia | Other | 151237200 | |
| West Virginia | Other | E67388 | |
| West Virginia | Other | 0130753 | |
| West Virginia | Other | 020011800 | |
| West Virginia | MEDICAID | 14175 | |
| West Virginia | Other | 14193 | |
| West Virginia | Other | 550516458 | |
| West Virginia | Other | 001325206 | |
| West Virginia | Other | 55-0516458 |
Popular Providers
-
Elksnis, Stephen M.
1538 Kanawha Blvd E , Charleston WV 25311-2435 -
Muto, Frank A.
1538 Kanawha Blvd E , Charleston WV 25311-2435 -
Cordell, Ronald E.
1120 Kanawha Blvd E , Charleston WV 25301-2400 -
Anton, John J.
1538 Kanawha Blvd E , Charleston WV 25311-2435 -
Mcjunkin, Mary H.L.
1120 Kanawha Blvd E , Charleston WV 25301-2400 -
Anton, Michael E.
1120 Kanawha Blvd E , Charleston WV 25301-2400 -
King, Russell F.
1538 Kanawha Blvd E , Charleston WV 25311-2435 -
Leef, Johnsey L.
1538 Kanawha Blvd E , Charleston WV 25311-2435