Illescas, Amy L

Illescas, Amy L is an individual health care provider with primary practice located at 10 Meadowview Dr , Hoover AL 35242-7700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Illescas, Amy L can be contacted via phone (205) 547-2323.

Contact Information

Primary practice address
10 Meadowview Dr Hoover AL 35242-7700
Phone: (205) 547-2323
Fax: (205) 995-0955
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23912 Alabama

Profile Details

NPI number 1346269123
LBN Legal business name Illescas, Amy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Oct 6th, 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 1346269123 NPPES
Alabama Other 515-94994 BCBS#
Alabama Other 051540201 BCBS#

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