Smus, Sergei
Smus, Sergei is an sole proprietor health care provider with primary practice located at 1546 Barclay Blvd , Buffalo Grove IL 60089-4530. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Smus, Sergei can be contacted via phone (847) 465-8415.Contact Information
Primary practice address
1546 Barclay Blvd
Buffalo Grove IL 60089-4530
Phone: (847) 465-8415
Fax: (847) 465-8608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | Illinois |
Profile Details
| NPI number | 1487621751 |
|---|---|
| LBN Legal business name | Smus, Sergei |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1487621751 | NPPES |
| Illinois | Other | 01635656 | BLUE CROSS BLUE SHIELD |
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