Capouch, Samuel Dalton

Capouch, Samuel Dalton is an individual health care provider with primary practice located at 301 N 8Th St , Springfield IL 62701-1041. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Capouch, Samuel Dalton can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
301 N 8Th St Springfield IL 62701-1041
Phone: (217) 528-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036164600 Illinois

Profile Details

NPI number 1326501750
LBN Legal business name Capouch, Samuel Dalton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2019
Last updated Oct 6th, 2023 - about 2 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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