Spata, Holli A
Spata, Holli A is an individual health care provider with primary practice located at 2130 Point Blvd Ste 900 , Elgin IL 60123-9214. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Spata, Holli A can be contacted via phone (888) 220-6432.Contact Information
Primary practice address
2130 Point Blvd Ste 900
Elgin IL 60123-9214
Phone: (888) 220-6432
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 209019304 | Illinois |
Profile Details
| NPI number | 1619514353 |
|---|---|
| LBN Legal business name | Spata, Holli A |
| Credentials | ADP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2019 |
| Last updated | Dec 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619514353 | NPPES |
| Illinois | Other | 209019304 | IL STATE LIC BOARD |
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