Gupta, Anil
Gupta, Anil is an sole proprietor health care provider with primary practice located at 2712 Broadway St , Mount Vernon IL 62864-2342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gupta, Anil can be contacted via phone (618) 244-2000.Contact Information
Primary practice address
2712 Broadway St
Mount Vernon IL 62864-2342
Phone: (618) 244-2000
Fax: (618) 244-6625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Illinois |
Profile Details
| NPI number | 1801953211 |
|---|---|
| LBN Legal business name | Gupta, Anil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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