Bilderback, Cody E

Bilderback, Cody E is an individual health care provider with primary practice located at 4 Memorial Dr Ste 230B , Alton IL 62002-6705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bilderback, Cody E can be contacted via phone (618) 463-7874.

Contact Information

Primary practice address
4 Memorial Dr Ste 230B Alton IL 62002-6705
Phone: (618) 463-7874
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2013012822 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209010451 Illinois

Profile Details

NPI number 1467890657
LBN Legal business name Bilderback, Cody E
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2013
Last updated May 9th, 2023 - about 3 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 1467890657 NPPES
Missouri Other 2013012822 MO LICENSE

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