Shankara, Besagarahally C
Shankara, Besagarahally C is an sole proprietor health care provider with primary practice located at 406 Front St Suite C, Mchenry IL 60050-5593. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shankara, Besagarahally C can be contacted via phone (815) 344-6868.Contact Information
Primary practice address
406 Front St Suite C
Mchenry IL 60050-5593
Phone: (815) 344-6868
Fax: (815) 344-5454
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 036070042 | Illinois |
Profile Details
NPI number | 1144290495 |
---|---|
LBN Legal business name | Shankara, Besagarahally C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 26th, 2006 |
Last updated | May 3rd, 2015 - 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 | 1144290495 | NPPES |
Illinois | MEDICAID | 036070042 |
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