Schlagheck, David J

Schlagheck, David J is an individual health care provider with primary practice located at 600 E 1St St , Spring Valley IL 61362-1512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Schlagheck, David J can be contacted via phone (815) 663-2811.

Contact Information

Primary practice address
600 E 1St St Spring Valley IL 61362-1512
Fax: (815) 664-5001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036059055 Illinois

Profile Details

NPI number 1336255157
LBN Legal business name Schlagheck, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Aug 22nd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336255157 NPPES
Illinois MEDICAID 036059055

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