Jay Riseman Md Ltd

LBN: Jay Riseman Md Ltd
Jay Riseman Md Ltd is an health care organization with primary practice located at 2524 Farragut Dr Suite C, Springfield IL 62704-8400. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Jay Riseman Md Ltd can be contacted via phone (217) 546-8711, or through Riseman, Jay A via phone (217) 629-8711.

Contact Information

Primary practice address
2524 Farragut Dr Suite C Springfield IL 62704-8400
Phone: (217) 546-8711
Fax: (217) 546-8720
Website:
Map and Directions
Authorized official contact:
Name: Riseman, Jay A Doctor of Medicine (MD)
Phone: (217) 629-8711

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X Illinois

Profile Details

NPI number 1508982299
LBN Legal business name Jay Riseman Md Ltd
DBA Doing business as
Authorized official Riseman, Jay A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Oct 31st, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508982299 NPPES
Illinois Other 148336 HEALTHLINK NETWORK ID
Illinois Other 08400721 HEALTHLINK NETWORK ID
Illinois Other 3001 HEALTHLINK NETWORK ID
Illinois Other 087768 HEALTHLINK NETWORK ID

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