Nord, Paul

Nord, Paul is an individual health care provider with primary practice located at 308 Saint Joseph Dr , Bloomington IL 61701-3506. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Nord, Paul can be contacted via phone (309) 663-5050.

Contact Information

Primary practice address
308 Saint Joseph Dr Bloomington IL 61701-3506
Phone: (309) 663-5050
Fax: (309) 663-3401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 036-054760 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-054760 Illinois
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 036-054760 Illinois

Profile Details

NPI number 1346333689
LBN Legal business name Nord, Paul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2006
Last updated Dec 31st, 2013 - about 12 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 1346333689 NPPES
Illinois MEDICAID 036054760

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