Anseeuw, Brian J

Anseeuw, Brian J is an individual health care provider with primary practice located at 616 35Th Ave Unit 2, Moline IL 61265-6158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Anseeuw, Brian J can be contacted via phone (309) 704-4729.

Contact Information

Primary practice address
616 35Th Ave Unit 2 Moline IL 61265-6158
Phone: (309) 704-4729
Fax: (309) 764-7144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 36102718 Illinois

Profile Details

NPI number 1568476117
LBN Legal business name Anseeuw, Brian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated May 5th, 2010 - about 14 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 1568476117 NPPES
Iowa Other 94420 WELLMARK
Iowa MEDICAID 36102716 2 WELLMARK
Iowa Other 08126230 WELLMARK

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