Brian J Shaheen Md Sc

LBN: Brian J Shaheen Md Sc
Brian J Shaheen Md Sc is an health care organization with primary practice located at 1104 S 42Nd Street , Mount Vernon IL 62864-6216. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Brian J Shaheen Md Sc can be contacted via phone (618) 244-2296, or through Shaheen, Brian J via phone (618) 244-2296.

Contact Information

Primary practice address
1104 S 42Nd Street Mount Vernon IL 62864-6216
Phone: (618) 244-2296
Fax: (618) 244-0074
Website:
Map and Directions
Authorized official contact:
Name: Shaheen, Brian J Doctor of Medicine (MD)
Phone: (618) 244-2296

Health care specialties

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

Profile Details

NPI number 1336214584
LBN Legal business name Brian J Shaheen Md Sc
DBA Doing business as
Authorized official Shaheen, Brian J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336214584 NPPES
Other 704010 MEDICARE

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