Mziray-Andrew, Charmaine Haikaeli

Mziray-Andrew, Charmaine Haikaeli is an individual health care provider with primary practice located at 301 N 8Th St Suite Pav 4A, Springfield IL 62701-1041. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Mziray-Andrew, Charmaine Haikaeli can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
301 N 8Th St Suite Pav 4A Springfield IL 62701-1041
Phone: (217) 545-8000
Fax: (217) 545-5018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-116417 Illinois
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 036-116417 Illinois

Profile Details

NPI number 1225254659
LBN Legal business name Mziray-Andrew, Charmaine Haikaeli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Dec 8th, 2020 - about 5 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 1225254659 NPPES
Illinois MEDICAID 036116417

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