Deddo, Elizabeth L

Deddo, Elizabeth L is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2529. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Deddo, Elizabeth L can be contacted via phone (217) 383-3610.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2529
Phone: (217) 383-3610
Fax: (217) 326-2704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209016123 Illinois

Profile Details

NPI number 1215458187
LBN Legal business name Deddo, Elizabeth L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2017
Last updated Jun 30th, 2017 - about 9 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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