Avagyan, Juletta

Avagyan, Juletta is an individual health care provider with primary practice located at 1 Memorial Dr , Alton IL 62002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Avagyan, Juletta can be contacted via phone (618) 463-7240.

Contact Information

Primary practice address
1 Memorial Dr Alton IL 62002
Phone: (618) 463-7240
Fax: (618) 463-7216
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2015026284 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2015026284 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036-144670 Illinois

Profile Details

NPI number 1013278944
LBN Legal business name Avagyan, Juletta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2012
Last updated Sep 22nd, 2021 - about 3 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 1013278944 NPPES
Virginia Other 207QOOOOOX FAMILY MEDICINE

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