Doloszycki, Pamela

Doloszycki, Pamela is an individual health care provider with primary practice located at 1001 Main St Suite 200, Peoria IL 61606-1907. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Doloszycki, Pamela can be contacted via phone (309) 672-5682.

Contact Information

Primary practice address
1001 Main St Suite 200 Peoria IL 61606-1907
Phone: (309) 672-5682
Fax: (309) 672-3147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209-003010 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209003010 Illinois

Profile Details

NPI number 1861563397
LBN Legal business name Doloszycki, Pamela
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jan 21st, 2009 - about 17 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 1861563397 NPPES
Illinois MEDICAID 209003010
Illinois Other 209-003010

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