Schalliol, Elizabeth Diane

Schalliol, Elizabeth Diane is an individual health care provider with primary practice located at 621 Memorial Dr Ste 302 , South Bend IN 46601-1073. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Schalliol, Elizabeth Diane can be contacted via phone (574) 367-3800.

Contact Information

Primary practice address
621 Memorial Dr Ste 302 South Bend IN 46601-1073
Phone: (574) 367-3800
Fax: (574) 367-3801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 71002043A Indiana

Profile Details

NPI number 1104973536
LBN Legal business name Schalliol, Elizabeth Diane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jun 25th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104973536 NPPES
Indiana MEDICAID 200866450

Popular Providers