ALISHA PROVOST NPI 1073142816

NPI Information

NPI: 1073142816
Provider Name: ALISHA PROVOST
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
3 SAINT ELIZABETH BLVD
SHILOH, IL
ZIP 62269
Phone: (618) 256-9355
Get Directions

Alisha Provost is a general practice in Shiloh, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Alisha Provost NPI is 1073142816. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3 SAINT ELIZABETH BLVD
SHILOH, IL
ZIP 62269-281
Phone: (618) 256-9355
Fax: (618) 206-2332

The enumeration date for this NPI number is 4/3/2020 and was last updated on 4/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		2022032506	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »