Abraham, Sisay Michael

Abraham, Sisay Michael is an individual health care provider with primary practice located at 2 Memorial Dr Ste 220 , Alton IL 62002-6723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abraham, Sisay Michael can be contacted via phone (618) 474-1723.

Contact Information

Primary practice address
2 Memorial Dr Ste 220 Alton IL 62002-6723
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036152633 Illinois

Profile Details

NPI number 1184088312
LBN Legal business name Abraham, Sisay Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2016
Last updated Mar 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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