Payvar, Sasan

Payvar, Sasan is an sole proprietor health care provider with primary practice located at 333 N. Madison Ave. , Joliet IL 60435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Payvar, Sasan can be contacted via phone (815) 741-7215.

Contact Information

Primary practice address
333 N. Madison Ave. Joliet IL 60435
Fax: (815) 741-7591
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X Illinois

Profile Details

NPI number 1548325897
LBN Legal business name Payvar, Sasan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Nov 20th, 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 1548325897 NPPES
Other 6124854000 DEPARTMENT OF LABOR
Other 9915352 DEPARTMENT OF LABOR
Other N290487 DEPARTMENT OF LABOR

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