Kapitan, Kent S
Kapitan, Kent S is an individual health care provider with primary practice located at 751 N Rutledge St Rm 0300, Springfield IL 62702-4968. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Kapitan, Kent S can be contacted via phone (217) 545-5864.Contact Information
Primary practice address
751 N Rutledge St Rm 0300
Springfield IL 62702-4968
Phone: (217) 545-5864
Fax: (217) 545-4734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036112857 | Illinois |
Profile Details
| NPI number | 1194713958 |
|---|---|
| LBN Legal business name | Kapitan, Kent S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Jul 22nd, 2010 - about 15 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 | 1194713958 | NPPES |
| Illinois | MEDICAID | 036112857 |
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