Buzzell, Robert A

Buzzell, Robert A is an individual health care provider with primary practice located at 751 N Rutledge St , Springfield IL 62702-4909. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Buzzell, Robert A can be contacted via phone (217) 545-3821.

Contact Information

Primary practice address
751 N Rutledge St Springfield IL 62702-4909
Phone: (217) 545-3821
Fax: (217) 545-4485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 036086434 Illinois

Profile Details

NPI number 1861495699
LBN Legal business name Buzzell, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Aug 28th, 2009 - about 15 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 1861495699 NPPES
Illinois MEDICAID 036086434

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