Dy, Philip A
Dy, Philip A is an individual health care provider with primary practice located at 905 Medical Park Dr , Effingham IL 62401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Dy, Philip A can be contacted via phone (217) 342-2066.Contact Information
Primary practice address
905 Medical Park Dr
Effingham IL 62401
Phone: (217) 342-2066
Fax: (217) 342-2074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 036097243 | Illinois |
Profile Details
| NPI number | 1710076567 |
|---|---|
| LBN Legal business name | Dy, Philip A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 19th, 2010 - about 14 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 | 1710076567 | NPPES |
| Illinois | MEDICAID | 036097243 |
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