Sergeant, Michael John
Sergeant, Michael John is an sole proprietor health care provider with primary practice located at 475 Brown Blvd Suite 101, Bourbonnais IL 60914-2325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Sergeant, Michael John can be contacted via phone (815) 939-7421.Contact Information
Primary practice address
475 Brown Blvd Suite 101
Bourbonnais IL 60914-2325
Phone: (815) 939-7421
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036057704 | Illinois |
Profile Details
| NPI number | 1205965936 |
|---|---|
| LBN Legal business name | Sergeant, Michael John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Feb 8th, 2016 - about 9 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 | 1205965936 | NPPES |
| Illinois | MEDICAID | 036057704 |
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