Illig, Stephen J

Illig, Stephen J is an individual health care provider with primary practice located at 987 R C Hoag Dr Lionel R John Health Center, Salamanca NY 14779-1365. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Illig, Stephen J can be contacted via phone (716) 945-5894.

Contact Information

Primary practice address
987 R C Hoag Dr Lionel R John Health Center Salamanca NY 14779-1365
Phone: (716) 945-5894
Fax: (716) 945-5889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 030190 New York

Profile Details

NPI number 1336233477
LBN Legal business name Illig, Stephen J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1336233477 NPPES
Other 143435 UNITED CONCORDIA
Other 4001458 UNITED CONCORDIA

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