Elizabeth A Small
Dermatologist
1025 S 6th St
Springfield
, Illinois 62703-2403
Elizabeth A Small
Dermatologist
1025 S 6th St
Springfield
, Illinois 62703-2403
(217) 528-7541
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Elizabeth A Small
- 1025 S 6th St
- Springfield, IL
- Zip : 62703-2403
- Phone : (217) 528-7541
Second Address
- Elizabeth A Small
- 1025 S 6th St
- Springfield, IL
- Zip : 62703-2403
- Phone : (217) 528-7541
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 036057816 | IL |
National Provider Identifier
| NPI | 1053496125 |
|---|---|
| Provider Name | Elizabeth A Small |
| First Address | Springfield, IL 62703-2403 |
| Second Address | Springfield, IL 62703-2403 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2006 |
| Last Update Date | 20/07/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036057816 | (05) | IL |
| C39940 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.