Allison, Waridibo Evelyn

Allison, Waridibo Evelyn is an individual health care provider with primary practice located at 903 W Martin St , San Antonio TX 78207-0903. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Allison, Waridibo Evelyn can be contacted via phone (210) 358-3710.

Contact Information

Primary practice address
903 W Martin St San Antonio TX 78207-0903
Phone: (210) 358-3710
Fax: (210) 358-5941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME128903 Florida
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X Q8820 Texas

Profile Details

NPI number 1548577422
LBN Legal business name Allison, Waridibo Evelyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2010
Last updated Apr 5th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548577422 NPPES
Texas Other 367840102 CSHCN
Texas MEDICAID 367840101 CSHCN

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