Newcomer, Joseph Kaysing

Newcomer, Joseph Kaysing is an individual health care provider with primary practice located at 1111 Trinity Lane Suite 111, Bloomington IL 61704-3738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Newcomer, Joseph Kaysing can be contacted via phone (309) 663-6461.

Contact Information

Primary practice address
1111 Trinity Lane Suite 111 Bloomington IL 61704-3738
Phone: (309) 663-6461
Fax: (309) 663-5711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-098056 Illinois

Profile Details

NPI number 1285633420
LBN Legal business name Newcomer, Joseph Kaysing
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Oct 27th, 2021 - about 4 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 1285633420 NPPES
Illinois MEDICAID 0360980562

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