Woldegabriel, Elias Nigussie
Woldegabriel, Elias Nigussie is an individual health care provider with primary practice located at 611 W Park St Infectious Disease, Urbana IL 61801-2529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Woldegabriel, Elias Nigussie can be contacted via phone (217) 383-1554.Contact Information
Primary practice address
611 W Park St Infectious Disease
Urbana IL 61801-2529
Phone: (217) 383-1554
Fax: (217) 383-1523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 0101254167 | Virginia |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036140939 | Illinois |
Profile Details
| NPI number | 1316252265 |
|---|---|
| LBN Legal business name | Woldegabriel, Elias Nigussie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2010 |
| Last updated | Sep 30th, 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 | 1316252265 | NPPES |
| Virginia | MEDICAID | 1316252265 |
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