Blicker, Ilena Joyce

Blicker, Ilena Joyce is an individual health care provider with primary practice located at 435 Arden Ave Suite 540, Glendale CA 91203-1130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Blicker, Ilena Joyce can be contacted via phone (818) 240-1677.

Contact Information

Primary practice address
435 Arden Ave Suite 540 Glendale CA 91203-1130
Phone: (818) 240-1677
Fax: (818) 240-0147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G19424 California

Profile Details

NPI number 1992778864
LBN Legal business name Blicker, Ilena Joyce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1992778864 NPPES
California MEDICAID 00G194240

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