Elisco, Alvin B
Elisco, Alvin B is an individual health care provider with primary practice located at 1200 N Beaver St Fmc Hospitalists, Flagstaff AZ 86001-3118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Elisco, Alvin B can be contacted via phone (928) 214-2920.Contact Information
Primary practice address
1200 N Beaver St Fmc Hospitalists
Flagstaff AZ 86001-3118
Phone: (928) 214-2920
Fax: (928) 214-2925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 14146 | Arizona |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 14146 | Arizona |
Profile Details
| NPI number | 1346241189 |
|---|---|
| LBN Legal business name | Elisco, Alvin B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Mar 14th, 2017 - about 7 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 | 1346241189 | NPPES |
| Arizona | Other | AW9356 | HEALTHNET |
| Arizona | Other | 3874719 | HEALTHNET |
| Arizona | Other | P01109107 | HEALTHNET |
| Arizona | MEDICAID | 248741 | HEALTHNET |
| Arizona | Other | AZ0780670 | HEALTHNET |
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