Illescas, Amy L
Illescas, Amy L is an individual health care provider with primary practice located at 10 Meadowview Dr , Hoover AL 35242-7700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Illescas, Amy L can be contacted via phone (205) 547-2323.Contact Information
Primary practice address
10 Meadowview Dr
Hoover AL 35242-7700
Phone: (205) 547-2323
Fax: (205) 995-0955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23912 | Alabama |
Profile Details
| NPI number | 1346269123 |
|---|---|
| LBN Legal business name | Illescas, Amy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Oct 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346269123 | NPPES |
| Alabama | Other | 515-94994 | BCBS# |
| Alabama | Other | 051540201 | BCBS# |
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