Prinz, Paul T.
Prinz, Paul T. is an individual health care provider with primary practice located at 675 W North Ave Suite 607, Melrose Park IL 60160-1634. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Prinz, Paul T. can be contacted via phone (708) 681-7809.Contact Information
Primary practice address
675 W North Ave Suite 607
Melrose Park IL 60160-1634
Phone: (708) 681-7809
Fax: (708) 681-7808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036081375 | Illinois |
Profile Details
| NPI number | 1407802242 |
|---|---|
| LBN Legal business name | Prinz, Paul T. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Apr 28th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407802242 | NPPES |
| Illinois | MEDICAID | 036081375 | |
| Illinois | Other | 01625553 |
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