Stover, Gary

Stover, Gary is an sole proprietor health care provider with primary practice located at 800 N 1St St , Springfield IL 62702-3778. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Stover, Gary can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
800 N 1St St Springfield IL 62702-3778
Phone: (217) 528-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036156475 Illinois

Profile Details

NPI number 1952833295
LBN Legal business name Stover, Gary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2017
Last updated Sep 2nd, 2021 - about 4 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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