Birk, Carl Peter
Birk, Carl Peter is an sole proprietor health care provider with primary practice located at 302 W Hay St Ste 140, Decatur IL 62526-4167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Birk, Carl Peter can be contacted via phone (217) 876-2730.Contact Information
Primary practice address
302 W Hay St Ste 140
Decatur IL 62526-4167
Phone: (217) 876-2730
Fax: (217) 876-2735
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036042482 | Illinois |
Profile Details
| NPI number | 1386601391 |
|---|---|
| LBN Legal business name | Birk, Carl Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Oct 10th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386601391 | NPPES |
| Illinois | MEDICAID | 036042482 |
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