Sloan, Roger D.

Sloan, Roger D. is an individual health care provider with primary practice located at 3375 N Seminary St , Galesburg IL 61401-1251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sloan, Roger D. can be contacted via phone (309) 343-5114.

Contact Information

Primary practice address
3375 N Seminary St Galesburg IL 61401-1251
Phone: (309) 343-5114
Fax: (309) 343-7859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-112817 Illinois

Profile Details

NPI number 1932207859
LBN Legal business name Sloan, Roger D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Mar 26th, 2009 - about 16 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 1932207859 NPPES
Illinois Other 7532005 BC/BS OF ILLINOIS
Illinois Other 833610 BC/BS OF ILLINOIS
Illinois Other P00673395 BC/BS OF ILLINOIS
Illinois Other CB6569 BC/BS OF ILLINOIS

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