Omondi, Price P

Omondi, Price P is an individual health care provider with primary practice located at 1800 E Lake Shore Dr , Decatur IL 62521-3810. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Omondi, Price P can be contacted via phone (217) 464-2400.

Contact Information

Primary practice address
1800 E Lake Shore Dr Decatur IL 62521-3810
Phone: (217) 464-2400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-100726 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-100726 Illinois
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036-100726 Illinois

Profile Details

NPI number 1477504488
LBN Legal business name Omondi, Price P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Nov 8th, 2016 - about 8 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 1477504488 NPPES
Illinois Other 036100726 BLUE SHIELD
Illinois MEDICAID 036100726-5 BLUE SHIELD
Illinois MEDICAID 1477504488 BLUE SHIELD
Illinois MEDICAID 036100726-3 BLUE SHIELD
Illinois MEDICAID 036100726-1 BLUE SHIELD
Illinois MEDICAID 200233440 BLUE SHIELD
Illinois MEDICAID 036100726-2 BLUE SHIELD
Illinois MEDICAID 7100112980 BLUE SHIELD

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