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:
Health care specialties
| Specialty | Code | License # | 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 17 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 | 1992778864 | NPPES |
| California | MEDICAID | 00G194240 |
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