Individual
DR. JOHN CURTIS WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CH.
Contact information
Practice address
305 ALLEGHENY ST, RICHLANDS, VA 24641
(276) 963-0395
(276) 964-2225
Mailing address
PO BOX 1045, RICHLANDS, VA 24641
(276) 963-0395
(276) 964-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000181
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007315
ANTHEM BLUE CROSS BLUE SH
VA
01
—
1300519
UMWA UNITED MINE WORKERS
VA
01
—
4669783
AETNA
VA
Enumeration date
03/17/2006
Last updated
12/12/2007
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