Charla Rae Willis in Lewiston - Internal Medicine
Charla Rae Willis - NPI 1497846091
Charla Rae Willis is a Internal Medicine in Lewiston, Idaho. Charla Rae Willis practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Charla Rae Willis is 1497846091. The last update date is 2016-03-07.
Charla Rae Willis's current location address is 2315 8th St, Lewiston, Idaho. You can contact this provider via phone number 2087461383 and fax number 2087466348. The mailing address for Charla Rae Willis is 2315 8th St, Lewiston, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charla Rae Willis |
|---|---|
| Address | 2315 8th St, Lewiston, Idaho |
| Phone Number | 2087461383 |
| Fax Number | 2087466348 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1497846091 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2016-03-07 |
Provider Mailing Address Detail
| Address | 2315 8th St |
|---|---|
| City | Lewiston |
| State | Idaho (ID) |
| Post Code | 835017301 |
| Phone Number | 2087461383 |
| Fax Number | 2087466348 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | M9369 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1011897 | WA | -- | |
| 74930 | ID | BLUE CROSS | |
| 1131387 | ID | DMERC | |
| 222531 | WA | LABOR & INDUSTRIES | |
| 1497846091 | ID | REGENCE BLUESHIELD | |
| 1497846091 | ID | -- |
Post Comment/ Review Below
What is the Charla Rae Willis's unique identification number?
The Charla Rae Willis has been assigned the NPI (National Provider Identifier) Number 1497846091 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Charla Rae Willis's facilities are situated?
The facilities of Charla Rae Willis are physically located at the following address: 2315 8Th St, Lewiston, ID, 835017301.
What is Charla Rae Willis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charla Rae Willis's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
When did the Charla Rae Willis receive its 1497846091?
The Charla Rae Willis was issued its 1497846091 on 2006-09-27, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Charla Rae Willis most recently updated or revised?
The information pertaining to Charla Rae Willis, including its address, specialty, and other relevant details, was last updated or revised on 2016-03-07.
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