National Provider Identifier Database

AIRLINE CARE CLINIC PLLC
Family


Contact Information

AIRLINE CARE CLINIC PLLC
33 E AIRLINE DR
EAST ALTON, IL62024-1703
Phone: 618-908-8602
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for AIRLINE CARE CLINIC PLLC

NPI Number 1992556427
Legal business name
LBN
AIRLINE CARE CLINIC PLLC
Authorized official ELIZABETH DYKEMAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/01/2024
Last updated 04/01/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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