Alenghat, Elizabeth
Alenghat, Elizabeth is an individual health care provider with primary practice located at 5409 N Knoxville Ave , Peoria IL 61614-5069. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Alenghat, Elizabeth can be contacted via phone (309) 683-6150.Contact Information
Primary practice address
5409 N Knoxville Ave
Peoria IL 61614-5069
Phone: (309) 683-6150
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 036061814 | Illinois |
Profile Details
NPI number | 1598719429 |
---|---|
LBN Legal business name | Alenghat, Elizabeth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 22nd, 2006 |
Last updated | Aug 13th, 2012 - about 12 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598719429 | NPPES |
Illinois | MEDICAID | 0360618143 | |
Illinois | Other | 220018569 |
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