Didriksen, Lizbeth Hoepli

Didriksen, Lizbeth Hoepli is an individual health care provider with primary practice located at 2160 S State Route 157 Suite B, Glen Carbon IL 62034-1720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Didriksen, Lizbeth Hoepli can be contacted via phone (618) 692-1212.

Contact Information

Primary practice address
2160 S State Route 157 Suite B Glen Carbon IL 62034-1720
Phone: (618) 692-1212
Fax: (618) 205-4068
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036078684 Illinois

Profile Details

NPI number 1861501058
LBN Legal business name Didriksen, Lizbeth Hoepli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 5th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861501058 NPPES
Illinois MEDICAID 036078684

Popular Providers