Redzic, Adela
Redzic, Adela is an individual health care provider with primary practice located at 1 Saint Elizabeth Blvd , O Fallon IL 62269-1099. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Redzic, Adela can be contacted via phone (618) 234-2120.Contact Information
Primary practice address
1 Saint Elizabeth Blvd
O Fallon IL 62269-1099
Phone: (618) 234-2120
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085.007333 | Illinois |
Profile Details
NPI number | 1912548587 |
---|---|
LBN Legal business name | Redzic, Adela |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2019 |
Last updated | Oct 3rd, 2019 - 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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