Paul M Willis is a Specialist in Ingomar, Pennsylvania. Paul M Willis practices all healthcare services and medical treatments related to Specialist. The NPI Number for Paul M Willis is 1104835180. The last update date is 2013-12-02.
Paul M Willis's current location address is Po Box 240, Ingomar, Pennsylvania. You can contact this provider via phone number 4127712266 and fax number 4127712443. The mailing address for Paul M Willis is Po Box 240, Ingomar, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul M Willis |
|---|---|
| Address | Po Box 240, Ingomar, Pennsylvania |
| Phone Number | 4127712266 |
| Fax Number | 4127712443 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104835180 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2013-12-02 |
Provider Mailing Address Detail
| Address | Po Box 240 |
|---|---|
| City | Ingomar |
| State | Pennsylvania (PA) |
| Post Code | 151270240 |
| Phone Number | 4127712266 |
| Fax Number | 4127712443 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD070567L |
|
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 |
|---|---|---|---|
| 18020950001 | PA | -- | |
| 359754 | PA | HIGHMARK BLUE SHIELD | |
| 109675000 | PA | INDEPENDENCE BLUE SHIELD | |
| 1512196 | PA | GATEWAY HEALTH PLAN | |
| P00267349 | PA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Paul M Willis's unique identification number?
The Paul M Willis has been assigned the NPI (National Provider Identifier) Number 1104835180 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Paul M Willis located?
The Paul M Willis is located at Po Box 240, Ingomar, PA 151270240.
What is the Paul M Willis's area of specialization and corresponding taxonomy classification?
The Paul M Willis's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1104835180 to Paul M Willis?
The Centers for Medicare & Medicaid Services assigned the 1104835180 to Paul M Willis on 2006-08-07.
When was the information regarding Paul M Willis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Paul M Willis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-12-02.
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