Charles J Willey in Saint Louis - Specialist

Charles J Willey - NPI 1811996028

Charles J Willey is a Specialist in Saint Louis, Missouri. Charles J Willey practices all healthcare services and medical treatments related to Specialist. The NPI Number for Charles J Willey is 1811996028. The last update date is 2010-07-15.

Charles J Willey's current location address is 9915 Kennerly Rd, Saint Louis, Missouri. You can contact this provider via phone number 3148434794 and fax number 3148439256. The mailing address for Charles J Willey is 9915 Kennerly Rd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles J Willey
Address 9915 Kennerly Rd, Saint Louis, Missouri
Phone Number 3148434794
Fax Number 3148439256
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1811996028
Provider Enumeration Date 2005-07-19
Last Updated Date 2010-07-15

Provider Mailing Address Detail

Address 9915 Kennerly Rd
City Saint Louis
State Missouri (MO)
Post Code 631282703
Phone Number 3148434794
Fax Number 3148439256

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 13351
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
407220 MO UHC ST LOUIS MO
8221955 MO BCBS
138779 MO HEALTHLINK
A13558 MO MERCY
4001190 MO AETNA
10004 MO ESSENCE ST LOUIS MO
403389 MO UHC COLUMBIA IL
127507 MO GHP
400221 IL UHC MEDICARE COMPLETE IL
12458 IL ESSENCE COLUMBIA

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FAQs about Charles J Willey

What is the unique identification code assigned to Charles J Willey by the Centers for Medicare & Medicaid Services?

The Charles J Willey has been issued the NPI (National Provider Identifier) 1811996028. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Charles J Willey?

The Charles J Willey is physically situated at 9915 Kennerly Rd, in the city of Saint Louis, state of MO, with the postal code 631282703.

What is Charles J Willey's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Charles J Willey is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

When did Charles J Willey receive its 1811996028 assignment?

The Charles J Willey was assigned its 1811996028 on 2005-07-19, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Charles J Willey, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Charles J Willey, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-15.

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