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Contact Information

CHAD WILLIS, MD
825 2ND AVE STE C2
BOWLING GREEN, KY42101-1791
 Phone: 270-780-2780
 Fax: 270-780-2755
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CHAD WILLIS · (Male)

NPI # 1184087959
Status Active
Credentials MD
Entity Individual
Enumeration date 03/30/2016
Last updated 08/31/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 42665
  • KY License # 56988
Hospital affiliation(s)
  • UNIVERSITY OF ALABAMA HOSPITAL - (Acute Care)
    619 SOUTH 19TH STREET
    BIRMINGHAM, AL 35233
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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