Seidl, Robert K
Seidl, Robert K is an sole proprietor health care provider with primary practice located at 2406 E. Empire St. , Bloomington IL 61704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Seidl, Robert K can be contacted via phone (309) 663-9300.Contact Information
Primary practice address
2406 E. Empire St.
Bloomington IL 61704
Phone: (309) 663-9300
Fax: (309) 661-1670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036092373 | Illinois |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036-092373 | Illinois |
Profile Details
| NPI number | 1215046313 |
|---|---|
| LBN Legal business name | Seidl, Robert K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Mar 16th, 2010 - 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 | 1215046313 | NPPES |
| Illinois | Other | 0533210001 | DMERC |
| Illinois | Other | 200025639 | DMERC |
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