Dols, Kenneth J
Dols, Kenneth J is an individual health care provider with primary practice located at 1802 S. Mattis Avenue Orthopedics, Champaign IL 61821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dols, Kenneth J can be contacted via phone (217) 383-7676.Contact Information
Primary practice address
1802 S. Mattis Avenue Orthopedics
Champaign IL 61821
Phone: (217) 383-7676
Fax: (217) 383-4910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036067713 | Illinois |
Profile Details
| NPI number | 1134147200 |
|---|---|
| LBN Legal business name | Dols, Kenneth J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jun 5th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134147200 | NPPES |
| Illinois | Other | 0533210001 | DMERC |
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