Panopio, Phoebe

Panopio, Phoebe is an individual health care provider with primary practice located at 2010 Jacobssen Drive , Normal IL 61761. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Panopio, Phoebe can be contacted via phone (309) 452-0995.

Contact Information

Primary practice address
2010 Jacobssen Drive Normal IL 61761
Phone: (309) 452-0995
Fax: (309) 862-0961
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-094859 Illinois

Profile Details

NPI number 1710070289
LBN Legal business name Panopio, Phoebe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Apr 2nd, 2014 - about 10 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 1710070289 NPPES
Illinois Other 05732033 BCBS OF ILLINOIS
Illinois Other DE5898 BCBS OF ILLINOIS
Illinois MEDICAID 036094859 BCBS OF ILLINOIS

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