Eggen, Lidia
Eggen, Lidia is an individual health care provider with primary practice located at 1010 Pensacola St , Honolulu HI 96814-2118. 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. Eggen, Lidia can be contacted via phone (808) 432-2000.Contact Information
Primary practice address
1010 Pensacola St
Honolulu HI 96814-2118
Phone: (808) 432-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 54117 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | AMD-752 | Hawaii |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 60921045 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 018293 | New York |
Profile Details
| NPI number | 1588098909 |
|---|---|
| LBN Legal business name | Eggen, Lidia |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2013 |
| Last updated | Mar 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588098909 | NPPES |
| New York | MEDICAID | 4071550 |
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