Willis, Leo
Willis, Leo is an individual health care provider with primary practice located at 4460 S Highland Dr , Salt Lake City UT 84124-3543. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Willis, Leo can be contacted via phone (888) 949-4864.Contact Information
Primary practice address
4460 S Highland Dr
Salt Lake City UT 84124-3543
Phone: (888) 949-4864
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1932632593 |
|---|---|
| LBN Legal business name | Willis, Leo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2017 |
| Last updated | Nov 29th, 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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