Debora Elaine Willage
Health Service
606 E Main St
Madison
, Indiana 47250-4708
Debora Elaine Willage
Health Service
606 E Main St
Madison
, Indiana 47250-4708
(812) 265-5028
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About
Features
Specialties
- Health Service
Languages spoken
- English
Location
First Address
- Debora Elaine Willage
- 606 E Main St
- Madison, IN
- Zip : 47250-4708
- Fax : (812) 265-5028
- Phone : (812) 265-4151
Second Address
- Debora Elaine Willage
- 606 E Main St
- Madison, IN
- Zip : 47250-4708
- Fax : (812) 265-5028
- Phone : (812) 265-4151
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TH0100X | Health Service | 20040505A | IN |
National Provider Identifier
| NPI | 1104923234 |
|---|---|
| Provider Name | Debora Elaine Willage |
| First Address | Madison, IN 47250-4708 |
| Second Address | Madison, IN 47250-4708 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200041700A | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.