Joseph, M T

Joseph, M T is an individual health care provider with primary practice located at 3331 W Deyoung St Ste 100, Marion IL 62959-5896. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Joseph, M T can be contacted via phone (618) 998-7600.

Contact Information

Primary practice address
3331 W Deyoung St Ste 100 Marion IL 62959-5896
Phone: (618) 998-7600
Fax: (618) 997-3630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036045640 Illinois

Profile Details

NPI number 1770646515
LBN Legal business name Joseph, M T
Credentials MD FACC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Sep 20th, 2013 - about 11 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 1770646515 NPPES
Other 026849200 FEDERAL BLACK LUNG
MEDICAID 036045640 FEDERAL BLACK LUNG
Other 0010000066 FEDERAL BLACK LUNG
Other K46805 FEDERAL BLACK LUNG

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