Bartlett, Donald G

Bartlett, Donald G is an individual health care provider with primary practice located at 611 W. Park Street Emergency Medicine, Urbana IL 61801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bartlett, Donald G can be contacted via phone (217) 383-4930.

Contact Information

Primary practice address
611 W. Park Street Emergency Medicine Urbana IL 61801
Fax: (217) 383-4014
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036052899 Illinois

Profile Details

NPI number 1366407256
LBN Legal business name Bartlett, Donald G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jun 5th, 2012 - about 12 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 1366407256 NPPES
Illinois MEDICAID 036052899

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