Willis, Thomas M
Willis, Thomas M is an individual health care provider with primary practice located at Us Hwy 491 North , Shiprock NM 87420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Willis, Thomas M can be contacted via phone (505) 368-6401.Contact Information
Primary practice address
Us Hwy 491 North
Shiprock NM 87420
Phone: (505) 368-6401
Fax: (505) 368-6431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 23816 | Colorado |
Profile Details
| NPI number | 1235128091 |
|---|---|
| LBN Legal business name | Willis, Thomas M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Nov 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235128091 | NPPES |
| Arizona | MEDICAID | 706179 | |
| Arizona | MEDICAID | 01238161 | |
| Arizona | MEDICAID | U2721 |
Popular Providers
-
Fuller, Wayne A
1700 Clinton St , Muskegon MI 49442-5502 -
Miller, Margaret Lou
Us Hwy 491 North , Shiprock NM 87420 -
Jaranowski, Karen
1555 Long Pond Rd , Rochester NY 14626-4122 -
Grammar, Christopher J
1425 Portland Ave , Rochester NY 14621-3011 -
Mohiuddin, Mohammed J
2202 Harlem Road , Loves Park IL 61111-2754 -
Peisel, Francis James
Us Hwy 491 North , Shiprock NM 87420 -
Hartig, Glenn S
Us Hwy 491 North , Shiprock NM 87420 -
Pitt, Elizabeth S
1700 Clinton St , Muskegon MI 49442-5502