Kagan, Aleksandr
Kagan, Aleksandr is an sole proprietor health care provider with primary practice located at 1025 S 6Th St , Springfield IL 62703-2499. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Kagan, Aleksandr can be contacted via phone (217) 528-7541.Contact Information
Primary practice address
1025 S 6Th St
Springfield IL 62703-2499
Phone: (217) 528-7541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 036111960 | Illinois |
Profile Details
| NPI number | 1598728453 |
|---|---|
| LBN Legal business name | Kagan, Aleksandr |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Nov 1st, 2021 - about 3 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 | 1598728453 | NPPES |
| Illinois | MEDICAID | 036111960 |
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