Altshuler, Barry A
Altshuler, Barry A is an individual health care provider with primary practice located at 820 E Terra Cotta Ave Suite 226, Crystal Lake IL 60014-3649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Altshuler, Barry A can be contacted via phone (815) 455-2100.Contact Information
Primary practice address
820 E Terra Cotta Ave Suite 226
Crystal Lake IL 60014-3649
Phone: (815) 455-2100
Fax: (815) 455-3284
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036071366 | Illinois |
Profile Details
NPI number | 1134100688 |
---|---|
LBN Legal business name | Altshuler, Barry A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 10th, 2005 |
Last updated | Dec 14th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134100688 | NPPES |
Illinois | MEDICAID | 036071366 |
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