Sauder, Sue E
Sauder, Sue E is an individual health care provider with primary practice located at 507 E Armstrong Regional Development Center, Peoria IL 61603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Sauder, Sue E can be contacted via phone (309) 681-6960.Contact Information
Primary practice address
507 E Armstrong Regional Development Center
Peoria IL 61603
Phone: (309) 681-6960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 036069335 | Illinois |
Profile Details
| NPI number | 1710955885 |
|---|---|
| LBN Legal business name | Sauder, Sue E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Feb 3rd, 2014 - about 10 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 | 1710955885 | NPPES |
| Illinois | MEDICAID | 036069335 | |
| Illinois | Other | 07215036 |
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