Stewart, Elizabeth A
Stewart, Elizabeth A is an individual health care provider with primary practice located at 2900 Frank Scott Pkwy W Suite 904, Belleville IL 62223-5000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Stewart, Elizabeth A can be contacted via phone (618) 234-0640.Contact Information
Primary practice address
2900 Frank Scott Pkwy W Suite 904
Belleville IL 62223-5000
Phone: (618) 234-0640
Fax: (314) 851-4475
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036067867 | Illinois |
Profile Details
NPI number | 1508848490 |
---|---|
LBN Legal business name | Stewart, Elizabeth A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 16th, 2005 |
Last updated | Oct 24th, 2012 - about 12 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 | 1508848490 | NPPES |
Illinois | Other | 036067867 | ILLINOIS PUBLIC AID |
Illinois | Other | 118517 | ILLINOIS PUBLIC AID |
Illinois | MEDICAID | 036067867 | ILLINOIS PUBLIC AID |
Illinois | Other | 132702 | ILLINOIS PUBLIC AID |
Illinois | Other | 5812269 | ILLINOIS PUBLIC AID |
Illinois | Other | 000000010038 | ILLINOIS PUBLIC AID |
Illinois | Other | 0455346 | ILLINOIS PUBLIC AID |
Illinois | Other | 127482 | ILLINOIS PUBLIC AID |
Illinois | Other | E20962 | ILLINOIS PUBLIC AID |
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