Atchison, Sean

Atchison, Sean is an individual health care provider with primary practice located at 350 N Wall St , Kankakee IL 60901-2901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Atchison, Sean can be contacted via phone (815) 933-1671.

Contact Information

Primary practice address
350 N Wall St Kankakee IL 60901-2901
Phone: (815) 933-1671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-109174 Illinois

Profile Details

NPI number 1922047653
LBN Legal business name Atchison, Sean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jan 27th, 2011 - 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 1922047653 NPPES
Illinois MEDICAID 036109174-1

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