Willis, Paul M
Willis, Paul M is an individual health care provider with primary practice located at 27 Heckel Rd Suite 213, Mc Kees Rocks PA 15136-1616. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Willis, Paul M can be contacted via phone (412) 771-2266.Contact Information
Primary practice address
27 Heckel Rd Suite 213
Mc Kees Rocks PA 15136-1616
Phone: (412) 771-2266
Fax: (412) 771-2443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD070567L | Pennsylvania |
Profile Details
| NPI number | 1104835180 |
|---|---|
| LBN Legal business name | Willis, Paul M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Dec 2nd, 2013 - about 12 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 | 1104835180 | NPPES |
| Pennsylvania | MEDICAID | 0018020950001 | |
| Pennsylvania | Other | 359754 | |
| Pennsylvania | Other | 0109675000 | |
| Pennsylvania | Other | 1512196 | |
| Pennsylvania | Other | P00267349 |
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