Smith, Eliza J

Smith, Eliza J is an individual health care provider with primary practice located at 200 Dettro Dr , Mattoon IL 61938-9003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smith, Eliza J can be contacted via phone (217) 238-3000.

Contact Information

Primary practice address
200 Dettro Dr Mattoon IL 61938-9003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209007289 Illinois

Profile Details

NPI number 1972754000
LBN Legal business name Smith, Eliza J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2008
Last updated Dec 22nd, 2023 - about last year

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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