Short, Virgil D.

Short, Virgil D. is an individual health care provider with primary practice located at 326 Fairway Dr , Bloomington IL 61701-3462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Short, Virgil D. can be contacted via phone (309) 662-5361.

Contact Information

Primary practice address
326 Fairway Dr Bloomington IL 61701-3462
Phone: (309) 662-5361
Fax: (309) 663-5742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois

Profile Details

NPI number 1588867386
LBN Legal business name Short, Virgil D.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Jul 8th, 2007 - about 18 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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