Slagle, David

Slagle, David is an individual health care provider with primary practice located at Dept Of Internal Medicine 530 Ne Glen Oak, Peoria IL 61637-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Slagle, David can be contacted via phone (309) 655-3292.

Contact Information

Primary practice address
Dept Of Internal Medicine 530 Ne Glen Oak Peoria IL 61637-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036086726 Illinois

Profile Details

NPI number 1891763082
LBN Legal business name Slagle, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 17th, 2011 - about 13 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 1891763082 NPPES
Illinois MEDICAID 036086726
Illinois Other IL01G3
Illinois Other 07215036

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