Liwanag, Emelita Demetillo

Liwanag, Emelita Demetillo is an individual health care provider with primary practice located at 1835 Oddie Blvd , Sparks NV 89431-3559. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Liwanag, Emelita Demetillo can be contacted via phone (775) 982-5140.

Contact Information

Primary practice address
1835 Oddie Blvd Sparks NV 89431-3559
Fax: (775) 982-5141
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L.2736R Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13024 Nevada

Profile Details

NPI number 1275708182
LBN Legal business name Liwanag, Emelita Demetillo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Aug 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275708182 NPPES
Nevada MEDICAID 1275708182
Nevada Other 11985918

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