Alwan Percell, Renee

Alwan Percell, Renee is an individual health care provider with primary practice located at 1701 E College Ave , Bloomington IL 61704-2101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Alwan Percell, Renee can be contacted via phone (309) 664-3000.

Contact Information

Primary practice address
1701 E College Ave Bloomington IL 61704-2101
Phone: (309) 664-3000
Fax: (309) 664-3026
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3289 Arizona

Profile Details

NPI number 1588653935
LBN Legal business name Alwan Percell, Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Sep 20th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588653935 NPPES
Illinois Other IL2613 MEDICARE GROUP NUMBER
Illinois Other 031815 MEDICARE GROUP NUMBER
Illinois Other 031820 MEDICARE GROUP NUMBER
Illinois Other 3289 MEDICARE GROUP NUMBER
Illinois Other 031813 MEDICARE GROUP NUMBER
Illinois Other 031814 MEDICARE GROUP NUMBER

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