Rivera, Maria P

Rivera, Maria P is an individual health care provider with primary practice located at 144 North Ct , Dixon IL 61021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rivera, Maria P can be contacted via phone (815) 285-5437.

Contact Information

Primary practice address
144 North Ct Dixon IL 61021
Fax: (815) 285-8928
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-092336 Illinois

Profile Details

NPI number 1073581971
LBN Legal business name Rivera, Maria P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Aug 22nd, 2018 - about 6 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 1073581971 NPPES
Illinois MEDICAID 036092336

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