Willis, Shonda L

Willis, Shonda L is an sole proprietor health care provider with primary practice located at 1012 Burkhardt Ave , Akron OH 44301-1543. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Willis, Shonda L can be contacted via phone (330) 724-2616.

Contact Information

Primary practice address
1012 Burkhardt Ave Akron OH 44301-1543
Phone: (330) 724-2616
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1992964332
LBN Legal business name Willis, Shonda L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2008
Last updated Jun 2nd, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992964332 NPPES
Ohio MEDICAID 2738345

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