James Willis
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · City of Wilkes Barre, PA
NPI 1982186268 · NPPES record last updated Sep 3, 2018
Key facts
- NPI
- 1982186268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 133 N River St
City of Wilkes Barre, PA 18702-2404 - Phone
- (570) 208-5900
- NPI assigned
- Sep 3, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King'S College | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer |
2255A2300X | |||
| Student in an Organized Health Care Education/Training Program |
390200000X | Yes |
Addresses
Primary practice location
133 N River St
City of Wilkes Barre, PA 18702-2404
Mailing address
133 Pennwick Dr
Lititz, PA 17543-7628
Other providers in City of Wilkes Barre, PA
- Anthony Harmon-Miller
- Jonathan Richard Hoyt
- Natalie N Mikhail
- Luis A Pontier Jr.
- Katie Morgan Strohl
All providers in City of Wilkes Barre, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2018. 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.