Provider Demographics
NPI:1558192567
Name:WILLS, JOSHUA SETH
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:SETH
Last Name:WILLS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 ELKINS ST
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3871
Mailing Address - Country:US
Mailing Address - Phone:304-237-6505
Mailing Address - Fax:
Practice Address - Street 1:121 ELKINS ST
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3871
Practice Address - Country:US
Practice Address - Phone:304-237-6505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant