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Contact Information

AIRLINE CARE CLINIC PLLC
33 E AIRLINE DR
EAST ALTON, IL62024-1703
 Phone: 618-908-8602
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AIRLINE CARE CLINIC PLLC

NPI # 1992556427
LBN Legal business name AIRLINE CARE CLINIC PLLC
Authorized official ELIZABETH DYKEMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/01/2024
Last updated 04/01/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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