Kim, Peter S.
Kim, Peter S. is an sole proprietor health care provider with primary practice located at 821 Poplar St , Highland IL 62249-1658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kim, Peter S. can be contacted via phone (618) 654-1281.Contact Information
Primary practice address
821 Poplar St
Highland IL 62249-1658
Phone: (618) 654-1281
Fax: (618) 654-1452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036090402 | Illinois |
Profile Details
| NPI number | 1942250030 |
|---|---|
| LBN Legal business name | Kim, Peter S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | Apr 6th, 2016 - about 8 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 | 1942250030 | NPPES |
| Illinois | Other | 213743 | PTAN |
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