Wiezorek, Emily
Wiezorek, Emily is an individual health care provider with primary practice located at 101 E Plummer Blvd , Chatham IL 62629-8047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wiezorek, Emily can be contacted via phone (217) 483-3487.Contact Information
Primary practice address
101 E Plummer Blvd
Chatham IL 62629-8047
Phone: (217) 483-3487
Fax: (217) 483-8150
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209015128 | Illinois |
Profile Details
NPI number | 1609310960 |
---|---|
LBN Legal business name | Wiezorek, Emily |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 6th, 2016 |
Last updated | Dec 6th, 2016 - about 8 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 | 1609310960 | NPPES |
Illinois | Other | F1016555 | AANP CERTIFICATION |
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