Bott, Kirk M

Bott, Kirk M is an individual health care provider with primary practice located at 707 N Logan Ave Danville Polyclinic, Ltd., Danville IL 61832-4360. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Bott, Kirk M can be contacted via phone (217) 442-4186.

Contact Information

Primary practice address
707 N Logan Ave Danville Polyclinic, Ltd. Danville IL 61832-4360
Phone: (217) 442-4186
Fax: (217) 442-8336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016003907 Illinois
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016003907 Illinois

Profile Details

NPI number 1376655019
LBN Legal business name Bott, Kirk M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 20th, 2017 - about 7 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 1376655019 NPPES
Other 5480266 CIGNA
Other 016003907 CIGNA
Other 480010681 CIGNA
Other CE0883 CIGNA
Other 4449930001 CIGNA

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