Ilg, Boris A

Ilg, Boris A is an individual health care provider with primary practice located at 1116 Cornelia Road , Anderson SC 29621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ilg, Boris A can be contacted via phone (864) 224-0028.

Contact Information

Primary practice address
1116 Cornelia Road Anderson SC 29621
Phone: (864) 224-0028
Fax: (864) 225-5067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 21618 South Carolina

Profile Details

NPI number 1982763835
LBN Legal business name Ilg, Boris A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 18 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 1982763835 NPPES
South Carolina MEDICAID 216180

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