Ang, Stephen T

Ang, Stephen T is an individual health care provider with primary practice located at 1054 M L King Dr Suite 120, Centralia IL 62801-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ang, Stephen T can be contacted via phone (618) 532-1688.

Contact Information

Primary practice address
1054 M L King Dr Suite 120 Centralia IL 62801-3000
Fax: (618) 532-1689
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X Illinois

Profile Details

NPI number 1346251071
LBN Legal business name Ang, Stephen T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346251071 NPPES
Illinois Other 06107347 BLUE CROSS BLUE SHIELD

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