Willoughby, Eric M.

Willoughby, Eric M. is an individual health care provider with primary practice located at 710 Chesterfield Hwy , Cheraw SC 29520-7001. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Willoughby, Eric M. can be contacted via phone (843) 537-0010.

Contact Information

Primary practice address
710 Chesterfield Hwy Cheraw SC 29520-7001
Phone: (843) 537-0010
Fax: (843) 537-0009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2004000163 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 22477 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22477 South Carolina

Profile Details

NPI number 1598802738
LBN Legal business name Willoughby, Eric M.
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jun 24th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598802738 NPPES
Missouri MEDICAID 1598802738
Missouri MEDICAID NP5786

Popular Providers