Maldonado, Anastacia
Maldonado, Anastacia is an individual health care provider with primary practice located at 1813 W Kirby Ave , Champaign IL 61821-5410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Maldonado, Anastacia can be contacted via phone (217) 383-3131.Contact Information
Primary practice address
1813 W Kirby Ave
Champaign IL 61821-5410
Phone: (217) 383-3131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 036116939 | Illinois |
Profile Details
| NPI number | 1831279744 |
|---|---|
| LBN Legal business name | Maldonado, Anastacia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | May 7th, 2014 - about 11 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 | 1831279744 | NPPES |
| Other | 0533210001 | DMERC |
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