Guyton, Lori M
Guyton, Lori M is an sole proprietor health care provider with primary practice located at 3301 Logan Dr , Herrin IL 62948-3732. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Guyton, Lori M can be contacted via phone (618) 993-0444.Contact Information
Primary practice address
3301 Logan Dr
Herrin IL 62948-3732
Phone: (618) 993-0444
Fax: (618) 998-9302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036094659 | Illinois |
Profile Details
| NPI number | 1295725752 |
|---|---|
| LBN Legal business name | Guyton, Lori M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Sep 10th, 2014 - about 11 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 | 1295725752 | NPPES |
| Illinois | MEDICAID | 036094659 |
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