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Contact Information

MICHAEL T ABACA, CRNA
1800 E LAKE SHORE DR
DECATUR, IL62521-3810
 Phone: 217-464-2966
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for MICHAEL T ABACA · (Male)

NPI Number 1457373706
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 07/24/2006
Last updated 12/29/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209006213
Hospital affiliation(s)
  • ST MARYS HOSPITAL - (Acute Care)
    1800 E LAKE SHORE DR
    DECATUR, IL 62521
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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