Iglesias, Izaskun Melania

Iglesias, Izaskun Melania is an individual health care provider with primary practice located at 5602 W Clearwater Ave , Kennewick WA 99336-1909. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Iglesias, Izaskun Melania can be contacted via phone (877) 472-7430.

Contact Information

Primary practice address
5602 W Clearwater Ave Kennewick WA 99336-1909
Fax: (509) 769-5083
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036135005 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD61124696 Washington

Profile Details

NPI number 1881980233
LBN Legal business name Iglesias, Izaskun Melania
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2011
Last updated Jun 20th, 2023 - about last year

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 1881980233 NPPES
Illinois MEDICAID 036135005
Illinois MEDICAID 2204934

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