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:
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Health care specialties

SpecialtyCodeLicense #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 14 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 1194713958 NPPES
Illinois MEDICAID 036112857

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