Willis, Larry Grant
Willis, Larry Grant is an individual health care provider with primary practice located at 1110 N Lee Ave , Oklahoma City OK 73103-2612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Willis, Larry Grant can be contacted via phone (405) 230-9000.Contact Information
Primary practice address
1110 N Lee Ave
Oklahoma City OK 73103-2612
Phone: (405) 230-9000
Fax: (405) 230-9443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 10557 | Oklahoma |
Profile Details
| NPI number | 1952309155 |
|---|---|
| LBN Legal business name | Willis, Larry Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1952309155 | NPPES |
| Oklahoma | Other | 730714291-016 | BCBS OF OKLAHOMA |
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