Hefner, Alan B

Hefner, Alan B is an individual health care provider with primary practice located at 40W330 Lafox Rd , St Charles IL 60175-6515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hefner, Alan B can be contacted via phone (630) 584-9850.

Contact Information

Primary practice address
40W330 Lafox Rd St Charles IL 60175-6515
Phone: (630) 584-9850
Fax: (630) 584-1523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Illinois

Profile Details

NPI number 1962561282
LBN Legal business name Hefner, Alan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Apr 15th, 2008 - about 16 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 1962561282 NPPES
Illinois Other 1129551 UNITED HEALTHCARE
Illinois MEDICAID 36047324 UNITED HEALTHCARE
Illinois Other 4519570 UNITED HEALTHCARE

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