Willis, Warren Richard
Willis, Warren Richard is an individual health care provider with primary practice located at 119 N Wardwell Ave , Emmett ID 83617-3040. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Willis, Warren Richard can be contacted via phone (208) 365-6313.Contact Information
Primary practice address
119 N Wardwell Ave
Emmett ID 83617-3040
Phone: (208) 365-6313
Fax: (208) 365-1303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D3635 | Idaho |
Profile Details
| NPI number | 1568535011 |
|---|---|
| LBN Legal business name | Willis, Warren Richard |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Popular Providers
-
Bienenstock, Marc Irwin
3809 Junction Blvd Fl 2, Corona NY 11368-2153 -
Walsh, Douglas Paul
9801 17Th Ave Sw , Seattle WA 98106-2759 -
Wallace, Darren K
2003 E Quail Run Rd , Emmett ID 83617-5059 -
Duran, Daniel A.
2974 N Main St , Las Cruces NM 88001-1152 -
Winn, Frank O.
4551 Gautier Vancleave Rd Ste A, Gautier MS 39553-4810 -
Wallace, Andrea L
2003 S Plaza Rd , Emmett ID 83617-9180 -
Peterson, Kelsey
1312 South Washington Street , Emmett ID 83617 -
Raiber, Robert Brian
630 5Th Ave , New York NY 10111-0100