Sauder, W Anthony
Sauder, W Anthony is an individual health care provider with primary practice located at 1001 Main St Suite 200, Peoria IL 61606-1907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Sauder, W Anthony can be contacted via phone (309) 672-5682.Contact Information
Primary practice address
1001 Main St Suite 200
Peoria IL 61606-1907
Phone: (309) 672-5682
Fax: (309) 672-3147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036068961 | Illinois |
Profile Details
| NPI number | 1649260076 |
|---|---|
| LBN Legal business name | Sauder, W Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jan 21st, 2009 - about 16 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 | 1649260076 | NPPES |
| Illinois | MEDICAID | 036068961 |
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