Arentzen, Carl E

Arentzen, Carl E is an individual health care provider with primary practice located at 619 E Mason St Suite 3P25, Springfield IL 62701-1034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Arentzen, Carl E can be contacted via phone (217) 545-7600.

Contact Information

Primary practice address
619 E Mason St Suite 3P25 Springfield IL 62701-1034
Phone: (217) 545-7600
Fax: (217) 545-2552
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036072083 Illinois

Profile Details

NPI number 1033190814
LBN Legal business name Arentzen, Carl E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Oct 24th, 2012 - about 13 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 1033190814 NPPES
Illinois MEDICAID 036072083

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