Willoughby, John R
Willoughby, John R is an sole proprietor health care provider with primary practice located at 4326 George Washington Highway , Yorktown VA 23692-2707. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Willoughby, John R can be contacted via phone (540) 867-0174.Contact Information
Primary practice address
4326 George Washington Highway
Yorktown VA 23692-2707
Phone: (540) 867-0174
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 049-23517 | Ohio |
| Dental Providers / General Practice | 1223G0001X | 0401412434 | Virginia |
Profile Details
| NPI number | 1245487453 |
|---|---|
| LBN Legal business name | Willoughby, John R |
| Credentials | DDS, PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2008 |
| Last updated | Jan 12th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245487453 | NPPES |
| Virginia | Other | 0401412434 | DENTAL LICENSE # --- VIRGINIA |
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