Joseph, Emmanuella

Joseph, Emmanuella is an individual health care provider with primary practice located at 600 S 13Th St Suite M, Pekin IL 61554-4936. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Joseph, Emmanuella can be contacted via phone (309) 346-8038.

Contact Information

Primary practice address
600 S 13Th St Suite M Pekin IL 61554-4936
Phone: (309) 346-8038
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X Illinois

Profile Details

NPI number 1477597987
LBN Legal business name Joseph, Emmanuella
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Mar 24th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477597987 NPPES
Illinois Other 09015685 BLUE CROSS BLUE SHIELD

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