Puthenveetil, Elizabeth J

Puthenveetil, Elizabeth J is an individual health care provider with primary practice located at 1707 N Henderson St , Galesburg IL 61401-1320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Puthenveetil, Elizabeth J can be contacted via phone (309) 343-1000.

Contact Information

Primary practice address
1707 N Henderson St Galesburg IL 61401-1320
Phone: (309) 343-1000
Fax: (309) 344-1054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1417058256
LBN Legal business name Puthenveetil, Elizabeth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 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 1417058256 NPPES
Other 7191392 AETNA
Other 11053987 AETNA
Other 364271985-29 AETNA
Other 4815127 AETNA

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