Willis, Roger Cecil
Willis, Roger Cecil is an individual health care provider with primary practice located at 790 E 5Th St , Coquille OR 97423-1755. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Willis, Roger Cecil can be contacted via phone (541) 396-7295.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD26451 | Oregon |
Profile Details
| NPI number | 1477501815 |
|---|---|
| LBN Legal business name | Willis, Roger Cecil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Oct 4th, 2021 - about 5 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 | 1477501815 | NPPES |
| Oregon | MEDICAID | 165031 |
Popular Providers
-
Edwards, Patrick
790 E 5Th St , Coquille OR 97423 -
Ferrer, German Sierra
790 E 5Th St , Coquille OR 97423-1755 -
Wildenberg, Hope A
105 E Sydnor Ave Ste 100 , Ridgecrest CA 93555-5546 -
Millet, Brock W.
790 E 5Th St , Coquille OR 97423-1755 -
Fluharty, Kelly C
800 Grand Central Mall Suite 4, Vienna WV 26105-4131 -
Killian, James Wendall
402 Cumberland Ave , Williamsburg KY 40769-1238 -
Zabel, Christine M
1999 Sproul Rd Suite 21, Broomall PA 19008-3508 -
Minnehan, Haley J
701 Lewiston St , Cottonwood ID 83522-9750