Joshua Willsey
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Inola, OK
NPI 1487475216 · NPPES record last updated Oct 23, 2024
Key facts
- NPI
- 1487475216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 30312 S Beechwood LN
Inola, OK 74036-2009 - Phone
- (918) 857-1819
- NPI assigned
- Oct 23, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
30312 S Beechwood LN
Inola, OK 74036-2009
Mailing address
30312 S Beechwood LN
Inola, OK 74036-2009
Other providers in Inola, OK
All providers in Inola, OK · Student in an Organized Health Care Education/Training Program in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.