Woldegabriel, Elias Nigussie

Woldegabriel, Elias Nigussie is an individual health care provider with primary practice located at 611 W Park St Infectious Disease, Urbana IL 61801-2529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Woldegabriel, Elias Nigussie can be contacted via phone (217) 383-1554.

Contact Information

Primary practice address
611 W Park St Infectious Disease Urbana IL 61801-2529
Phone: (217) 383-1554
Fax: (217) 383-1523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 0101254167 Virginia
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036140939 Illinois

Profile Details

NPI number 1316252265
LBN Legal business name Woldegabriel, Elias Nigussie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2010
Last updated Sep 30th, 2016 - about 10 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 1316252265 NPPES
Virginia MEDICAID 1316252265

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