Pence, Ari Alexandra
Pence, Ari Alexandra is an individual health care provider with primary practice located at 1801 W Windsor Rd , Champaign IL 61822-6217. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Pence, Ari Alexandra can be contacted via phone (217) 366-6104.Contact Information
Primary practice address
1801 W Windsor Rd
Champaign IL 61822-6217
Phone: (217) 366-6104
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1174028971 | Illinois |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036160991 | Illinois |
Profile Details
| NPI number | 1174028971 |
|---|---|
| LBN Legal business name | Pence, Ari Alexandra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2018 |
| Last updated | Aug 23rd, 2022 - about 4 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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