Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 0101239924 | VA |
N | 207T00000X | Neurosurgeon | 207947 | MA |
NPI | 1083686067 |
---|---|
Provider Name | Steven F Will |
First Address | Hingham, MA 02043-3182 |
Second Address | Hingham, MA 02043-3182 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2006 |
Last Update Date | 31/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1083686067 | (05) | IA |
1083686067 | WELLMARK BCBS (01) | IA |
469629 | COVENTRY HEALTH CARE OF IA (01) | IA |
H02481 | (02) | MA |