Sabbun, Richard
Sabbun, Richard is an individual health care provider with primary practice located at 2200 E Washington St , Bloomington IL 61701-4364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Sabbun, Richard can be contacted via phone (309) 665-5925.Contact Information
Primary practice address
2200 E Washington St
Bloomington IL 61701-4364
Phone: (309) 665-5925
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 036-087141 | Illinois |
Profile Details
NPI number | 1023045606 |
---|---|
LBN Legal business name | Sabbun, Richard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2006 |
Last updated | Jul 14th, 2009 - about 15 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 | 1023045606 | NPPES |
Illinois | Other | 05721369 | BC/BS |
Illinois | Other | P00442511 | BC/BS |
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