Grater, Simeon

Grater, Simeon is an individual health care provider with primary practice located at 35 Albany Rd , Carbondale IL 62903-7605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Grater, Simeon can be contacted via phone (618) 549-4688.

Contact Information

Primary practice address
35 Albany Rd Carbondale IL 62903-7605
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Illinois

Profile Details

NPI number 1265494850
LBN Legal business name Grater, Simeon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Nov 19th, 2007 - about 18 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 1265494850 NPPES
Illinois Other CH4443 RR GROUP #

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