Mcilvaine, William B

Mcilvaine, William B is an individual health care provider with primary practice located at 4800 Alberta Ave , El Paso TX 79905-2709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Mcilvaine, William B can be contacted via phone (915) 215-5625.

Contact Information

Primary practice address
4800 Alberta Ave El Paso TX 79905-2709
Phone: (915) 215-5625
Fax: (915) 545-6984
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G43753 California
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X N8124 Texas

Profile Details

NPI number 1023116415
LBN Legal business name Mcilvaine, William B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 20th, 2014 - about 12 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 1023116415 NPPES
California Other 00G437530 F91 CAL OPTIMA
California MEDICAID 00G437530 CAL OPTIMA

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