Ploegman, Paul F

Ploegman, Paul F is an individual health care provider with primary practice located at 1111 Cedar Ct , Carbondale IL 62901-5333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ploegman, Paul F can be contacted via phone (618) 529-8687.

Contact Information

Primary practice address
1111 Cedar Ct Carbondale IL 62901-5333
Fax: (618) 529-8688
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036074348 Illinois

Profile Details

NPI number 1871517466
LBN Legal business name Ploegman, Paul F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 9th, 2007 - about 18 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 1871517466 NPPES
Illinois MEDICAID 036074348

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