Halperin, Ira
Halperin, Ira is an individual health care provider with primary practice located at 1701 E College Ave , Bloomington IL 61704-2101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Legal Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Halperin, Ira can be contacted via phone (309) 664-3120.Contact Information
Primary practice address
1701 E College Ave
Bloomington IL 61704-2101
Phone: (309) 664-3120
Fax: (309) 663-5742
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Legal Medicine | 209800000X | 0360-94009 | Illinois |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-094009 | Illinois |
Profile Details
NPI number | 1548352107 |
---|---|
LBN Legal business name | Halperin, Ira |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 29th, 2006 |
Last updated | Oct 5th, 2020 - about 5 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 | 1548352107 | NPPES |
Illinois | MEDICAID | 036094009 |
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