Wise, Elizabeth Hillery

Wise, Elizabeth Hillery is an individual health care provider with primary practice located at 401 E Chestnut St Suite 510, Louisville KY 40202-5700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wise, Elizabeth Hillery can be contacted via phone (502) 588-4800.

Contact Information

Primary practice address
401 E Chestnut St Suite 510 Louisville KY 40202-5700
Phone: (502) 588-4800
Fax: (502) 588-4801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3004329 Kentucky

Profile Details

NPI number 1609926047
LBN Legal business name Wise, Elizabeth Hillery
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Oct 15th, 2019 - about 7 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 1609926047 NPPES
Kentucky MEDICAID 7100246450
Kentucky MEDICAID 201179160

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