Nietert, Elizabeth
Nietert, Elizabeth is an individual health care provider with primary practice located at 751 N Rutledge St Suite 2300, Springfield IL 62702-4968. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Nietert, Elizabeth can be contacted via phone (217) 545-3821.Contact Information
Primary practice address
751 N Rutledge St Suite 2300
Springfield IL 62702-4968
Phone: (217) 545-3821
Fax: (217) 545-4485
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 54439-020 | Wisconsin |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036-130434 | Illinois |
Profile Details
NPI number | 1619199072 |
---|---|
LBN Legal business name | Nietert, Elizabeth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2007 |
Last updated | Mar 7th, 2023 - about 2 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 | 1619199072 | NPPES |
Illinois | MEDICAID | 036130434 | |
Illinois | MEDICAID | 1619199072 | |
Illinois | Other | 171400024 | |
Illinois | Other | 54439-020 |
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