Healthcare Provider Details

I. General information

NPI: 1295147585
Provider Name (Legal Business Name): WILLOW CLAIMS PROCESSING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2014
Last Update Date: 06/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 OAK HILL AVENUE 551 NEW COURT
YOUNGSTOWN OH
44502
US

IV. Provider business mailing address

507 OAK HILL AVENUE 551 NEW COURT
YOUNGSTOWN OH
44502
US

V. Phone/Fax

Practice location:
  • Phone: 330-301-5412
  • Fax:
Mailing address:
  • Phone: 330-301-5412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TONYA RAE WOOLENSACK
Title or Position: CEO
Credential:
Phone: 330-301-5412