Mehochko, Dolores

Mehochko, Dolores is an individual health care provider with primary practice located at 7309 N Knoxville Ave , Peoria IL 61614-2085. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mehochko, Dolores can be contacted via phone (309) 282-0827.

Contact Information

Primary practice address
7309 N Knoxville Ave Peoria IL 61614-2085
Phone: (309) 282-0827
Fax: (309) 683-1003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X Illinois

Profile Details

NPI number 1619945748
LBN Legal business name Mehochko, Dolores
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - 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 1619945748 NPPES
Illinois Other P00155334 RAILROAD

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