Mlot, Dennis Paul
Mlot, Dennis Paul is an sole proprietor health care provider with primary practice located at 2413 Broadway St , Mount Vernon IL 62864-2917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngic Allergy, which is considered as his primary health care specialty. Mlot, Dennis Paul can be contacted via phone (618) 244-6559.Contact Information
Primary practice address
2413 Broadway St
Mount Vernon IL 62864-2917
Phone: (618) 244-6559
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | 036105686 | Illinois |
Profile Details
| NPI number | 1609955715 |
|---|---|
| LBN Legal business name | Mlot, Dennis Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Oct 24th, 2007 - about 17 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 | 1609955715 | NPPES |
| Illinois | MEDICAID | 036105686 | |
| Illinois | Other | 04132003 |
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