LIBERTY HOLISTIC MEDICINE CENTER – NPI #1396015095
Allergy & Immunology

An allergy and immunology physician who specializes in clinical and laboratory immunology disease management..

LIBERTY HOLISTIC MEDICINE CENTER is an allergy & immunologist located in LIBERTY, MO. NPPES has assigned the NPI number 1396015095 to LIBERTY HOLISTIC MEDICINE CENTER on January 11, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LIBERTY HOLISTIC MEDICINE CENTER” is a dba name, the actual legal business name for this organization is JAMES W WILLOUGHBY II DO PC. The primary taxonomy selected by this provider is 207KI0005X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology, specializing in Clinical & Laboratory Immunology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIBERTY HOLISTIC MEDICINE CENTER below.

NPI Profile for
JAMES W WILLOUGHBY II DO PC

NPI Number
1396015095
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JAMES W WILLOUGHBY II DO PC
Doing Business As (dba): LIBERTY HOLISTIC MEDICINE CENTER
Primary location
24-26 S MAIN ST
STE A
LIBERTY, MO 64069
Phone: (816) 781-0902 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES WILLOUGHBY
OWNER
Phone: (816) 781-0902
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207KI0005X
- Allergy & Immunology / Clinical & Laboratory Immunology (Primary)
MO 37014

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.