Lin, Vincent I-Sun

Lin, Vincent I-Sun is an sole proprietor health care provider with primary practice located at 1400 75Th St B1, Downers Grove IL 60516. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lin, Vincent I-Sun can be contacted via phone (630) 969-6688.

Contact Information

Primary practice address
1400 75Th St B1 Downers Grove IL 60516
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019-026119 Illinois

Profile Details

NPI number 1760473839
LBN Legal business name Lin, Vincent I-Sun
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2005
Last updated Jun 20th, 2011 - about 13 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 1760473839 NPPES
Illinois MEDICAID 1005609

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