Cetindag, Ibrahim Bulent

Cetindag, Ibrahim Bulent is an individual health care provider with primary practice located at 421 N 9Th St Suite 240, Springfield IL 62702-5317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cetindag, Ibrahim Bulent can be contacted via phone (217) 545-5878.

Contact Information

Primary practice address
421 N 9Th St Suite 240 Springfield IL 62702-5317
Fax: (217) 545-9752
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-124001 Illinois

Profile Details

NPI number 1447471396
LBN Legal business name Cetindag, Ibrahim Bulent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Aug 28th, 2012 - about 13 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 1447471396 NPPES
Illinois MEDICAID 036124001

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