Willmon, Brian E

Willmon, Brian E is an individual health care provider with primary practice located at 2000 W 21St St Ste W-8, Clovis NM 88101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Willmon, Brian E can be contacted via phone (505) 763-4479.

Contact Information

Primary practice address
2000 W 21St St Ste W-8 Clovis NM 88101
Phone: (505) 763-4479
Fax: (505) 763-6007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 86358 New Mexico

Profile Details

NPI number 1336118645
LBN Legal business name Willmon, Brian E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Oct 21st, 2009 - about 16 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 1336118645 NPPES
New Mexico MEDICAID 37572

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