Drake, William K

Drake, William K is an sole proprietor health care provider with primary practice located at 400 Caldwell , Staunton IL 62088-1173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Drake, William K can be contacted via phone (618) 635-2200.

Contact Information

Primary practice address
400 Caldwell Staunton IL 62088-1173
Phone: (618) 635-2200
Fax: (618) 635-4233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 0030360413131 Illinois

Profile Details

NPI number 1801880976
LBN Legal business name Drake, William K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2005
Last updated Aug 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801880976 NPPES
Illinois Other 0006000411 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036041313 BLUE CROSS BLUE SHIELD

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