Papazian, Jacques

Papazian, Jacques is an individual health care provider with primary practice located at 4117 S Water Tower Pl Suite C, Mount Vernon IL 62864-6293. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Papazian, Jacques can be contacted via phone (618) 242-0672.

Contact Information

Primary practice address
4117 S Water Tower Pl Suite C Mount Vernon IL 62864-6293
Phone: (618) 242-0672
Fax: (618) 242-0862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1366491193
LBN Legal business name Papazian, Jacques
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1366491193 NPPES
Illinois Other 04127654 BCBS OF IL PROVIDER ID#
Illinois Other 293973 BCBS OF IL PROVIDER ID#
Illinois Other 027794 BCBS OF IL PROVIDER ID#
Illinois Other 55563 BCBS OF IL PROVIDER ID#

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