Willis, Jordan

Willis, Jordan is an individual health care provider with primary practice located at 54 Willow Field Dr , North Falmouth MA 02556-2827. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Willis, Jordan can be contacted via phone (508) 566-7243.

Contact Information

Primary practice address
54 Willow Field Dr North Falmouth MA 02556-2827
Phone: (508) 566-7243
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X PENDING Massachusetts

Profile Details

NPI number 1982330411
LBN Legal business name Willis, Jordan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2022
Last updated Jul 27th, 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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