Willy, Richard William

Willy, Richard William is an individual health care provider with primary practice located at 1500 Grand Central Ave Suite 101, Vienna WV 26105-1079. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Willy, Richard William can be contacted via phone (304) 295-3060.

Contact Information

Primary practice address
1500 Grand Central Ave Suite 101 Vienna WV 26105-1079
Phone: (304) 295-3060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 008881 Ohio
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 001989 West Virginia

Profile Details

NPI number 1730139403
LBN Legal business name Willy, Richard William
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730139403 NPPES
West Virginia MEDICAID 7305103000
West Virginia MEDICAID 2382247

Popular Providers