Nyquist, David J

Nyquist, David J is an individual health care provider with primary practice located at 4500 Memorial Dr , Belleville IL 62226. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Nyquist, David J can be contacted via phone (618) 257-6220.

Contact Information

Primary practice address
4500 Memorial Dr Belleville IL 62226
Phone: (618) 257-6220
Fax: (618) 257-6679
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36076188 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036-076188 Illinois

Profile Details

NPI number 1114966611
LBN Legal business name Nyquist, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Feb 23rd, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114966611 NPPES
Other 187771 HEALTH LINK
Other 0104775 HEALTH LINK
Other 080174497 HEALTH LINK
MEDICAID 036076188 HEALTH LINK
Other 133289 HEALTH LINK
Other 006015346 HEALTH LINK
Other 4080250 HEALTH LINK
Other 133289 HEALTH LINK

Popular Providers