Belfer, Evan Tep

Belfer, Evan Tep is an individual health care provider with primary practice located at 801 N 14Th St , Murphysboro IL 62966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Belfer, Evan Tep can be contacted via phone (618) 687-2319.

Contact Information

Primary practice address
801 N 14Th St Murphysboro IL 62966
Phone: (618) 687-2319
Fax: (618) 684-3321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-107906 Illinois

Profile Details

NPI number 1689780876
LBN Legal business name Belfer, Evan Tep
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 28th, 2020 - about 5 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 1689780876 NPPES
Other 039-32006 BLUE CROSS BLUE SHIELD
Other 431741 BLUE CROSS BLUE SHIELD
MEDICAID 036-107906 BLUE CROSS BLUE SHIELD
Other 078338 BLUE CROSS BLUE SHIELD

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