Hirstius, David A
Hirstius, David A is an individual health care provider with primary practice located at 1707 N 12Th St , Quincy IL 62301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hirstius, David A can be contacted via phone (217) 222-8641.Contact Information
Primary practice address
1707 N 12Th St
Quincy IL 62301
Phone: (217) 222-8641
Fax: (217) 222-8578
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036112783 | Illinois |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 036112783 | Illinois |
Profile Details
NPI number | 1780747170 |
---|---|
LBN Legal business name | Hirstius, David A |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 18th, 2006 |
Last updated | Dec 7th, 2009 - about 15 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 | 1780747170 | NPPES |
Other | P00211188 | RAIL ROAD MEDICARE |
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