Dodson, Kevin C

Dodson, Kevin C is an sole proprietor health care provider with primary practice located at 1620 9Th St , East Moline IL 61244-2120. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Dodson, Kevin C can be contacted via phone (309) 755-3809.

Contact Information

Primary practice address
1620 9Th St East Moline IL 61244-2120
Phone: (309) 755-3809
Fax: (309) 755-3860
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016004304 Illinois

Profile Details

NPI number 1629076559
LBN Legal business name Dodson, Kevin C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Oct 12th, 2011 - 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 1629076559 NPPES
Illinois Other 0060201286 BLUE CROSS AND BLUE SHIEL
Illinois Other 0436154 BLUE CROSS AND BLUE SHIEL
Illinois Other 363660257003 BLUE CROSS AND BLUE SHIEL
Illinois Other P00204462 BLUE CROSS AND BLUE SHIEL
Illinois MEDICAID 016004304 BLUE CROSS AND BLUE SHIEL
Illinois Other 020110 BLUE CROSS AND BLUE SHIEL
Illinois Other 36473 BLUE CROSS AND BLUE SHIEL
Illinois Other 326507258 BLUE CROSS AND BLUE SHIEL
Illinois Other 480007485 BLUE CROSS AND BLUE SHIEL
Illinois Other IL0101 BLUE CROSS AND BLUE SHIEL
Illinois Other I12453 BLUE CROSS AND BLUE SHIEL
Illinois Other IA0102 BLUE CROSS AND BLUE SHIEL

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