Jerrold C Willis in Birmingham - Diagnostic Radiology
Jerrold C Willis - NPI 1467407072
Jerrold C Willis is a Diagnostic Radiology in Birmingham, Alabama. Jerrold C Willis practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jerrold C Willis is 1467407072. The last update date is 2021-03-15.
Jerrold C Willis's current location address is Po Box 2153 Dept 20002, Birmingham, Alabama. You can contact this provider via phone number 8774650012 and fax number 3034381351. The mailing address for Jerrold C Willis is Po Box 2153 Dept 20002, Birmingham, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerrold C Willis |
|---|---|
| Address | Po Box 2153 Dept 20002, Birmingham, Alabama |
| Phone Number | 8774650012 |
| Fax Number | 3034381351 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1467407072 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2021-03-15 |
Provider Mailing Address Detail
| Address | Po Box 2153 Dept 20002 |
|---|---|
| City | Birmingham |
| State | Alabama (AL) |
| Post Code | 352870001 |
| Phone Number | 8774650012 |
| Fax Number | 3034381351 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 36057038 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300119485 | IL | RAILROAD ST JOES/UTLAH | |
| 300117217 | IL | RAILROAD GOOD SAM & ST MARY'S | |
| 036057038-3 | IL | -- |
Post Comment/ Review Below
What is the Jerrold C Willis's unique identification number?
The Jerrold C Willis has been assigned the NPI (National Provider Identifier) Number 1467407072 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 Jerrold C Willis's facilities are situated?
The facilities of Jerrold C Willis are physically located at the following address: Po Box 2153 Dept 20002, Birmingham, AL, 352870001.
What is Jerrold C Willis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerrold C Willis is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
On what date did the Jerrold C Willis receive its 1467407072 assignment from the Centers for Medicare & Medicaid Services?
The Jerrold C Willis was assigned its 1467407072 by the Centers for Medicare & Medicaid Services on 2006-05-23.
As of what date was the information pertaining to Jerrold C Willis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerrold C Willis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-15.