Bifulk, Andrew

Bifulk, Andrew is an individual health care provider with primary practice located at Osf Saint Francis Medical Center 530 Ne Glen Oak Avenue , Peoria IL 61637-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Bifulk, Andrew can be contacted via phone (309) 655-2000.

Contact Information

Primary practice address
Osf Saint Francis Medical Center 530 Ne Glen Oak Avenue Peoria IL 61637-0001
Phone: (309) 655-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209.024142 Illinois

Profile Details

NPI number 1780356089
LBN Legal business name Bifulk, Andrew
Credentials ACNPC-AG
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2021
Last updated Oct 4th, 2021 - about 5 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 1780356089 NPPES
Illinois Other 209.024142 STATE BOARD OF NURSING

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