Kisor, Emily Marie
Kisor, Emily Marie is an individual health care provider with primary practice located at 1627 E Bristol St , Elkhart IN 46514-3817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kisor, Emily Marie can be contacted via phone (574) 262-0313.Contact Information
Primary practice address
1627 E Bristol St
Elkhart IN 46514-3817
Phone: (574) 262-0313
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01076081 | Indiana |
Profile Details
| NPI number | 1659614964 |
|---|---|
| LBN Legal business name | Kisor, Emily Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2013 |
| Last updated | Mar 30th, 2021 - about 4 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 | 1659614964 | NPPES |
| Indiana | MEDICAID | 201354790 |
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