Willms, Jonathan Randall

Willms, Jonathan Randall is an individual health care provider with primary practice located at 580 N Camino Mercado Ste 8 , Casa Grande AZ 85122-5757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Willms, Jonathan Randall can be contacted via phone (520) 381-0380.

Contact Information

Primary practice address
580 N Camino Mercado Ste 8 Casa Grande AZ 85122-5757
Phone: (520) 381-0380
Fax: (520) 836-1826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 006349 Arizona

Profile Details

NPI number 1891010658
LBN Legal business name Willms, Jonathan Randall
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2010
Last updated Dec 2nd, 2021 - about 4 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 1891010658 NPPES
Arizona Other ZFQ31815 MEDICARE
Arizona Other Z165308 MEDICARE
Arizona Other 031815 MEDICARE
Arizona Other 031916 MEDICARE
Arizona Other 006349 MEDICARE
Arizona MEDICAID 901786 MEDICARE

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