Card, Edwin L

Card, Edwin L is an individual health care provider with primary practice located at 515 E Grant St Suite 211, Macomb IL 61455-3368. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Card, Edwin L can be contacted via phone (309) 833-3706.

Contact Information

Primary practice address
515 E Grant St Suite 211 Macomb IL 61455-3368
Phone: (309) 833-3706
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036060998 Illinois

Profile Details

NPI number 1568468015
LBN Legal business name Card, Edwin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Feb 16th, 2015 - about 10 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 1568468015 NPPES
Illinois Other 036060998 STATE LICENSE NUMBER

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