Pino, Elizabeth A

Pino, Elizabeth A is an individual health care provider with primary practice located at 221 S 6Th St , Terre Haute IN 47807-4214. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pino, Elizabeth A can be contacted via phone (812) 232-0564.

Contact Information

Primary practice address
221 S 6Th St Terre Haute IN 47807-4214
Phone: (812) 232-0564
Fax: (812) 242-3133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01043717 Indiana

Profile Details

NPI number 1740254630
LBN Legal business name Pino, Elizabeth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Apr 18th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740254630 NPPES
Indiana MEDICAID 200041750

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