Sudholt, Barbara Ann
Sudholt, Barbara Ann is an individual health care provider with primary practice located at 340 W Lincoln St Ste 300 , Belleville IL 62220-1900. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Sudholt, Barbara Ann can be contacted via phone (618) 235-4883.Contact Information
Primary practice address
340 W Lincoln St Ste 300
Belleville IL 62220-1900
Phone: (618) 235-4883
Fax: (618) 235-9573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 36078217 | Illinois |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 36078217 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 36078217 | Illinois |
Profile Details
| NPI number | 1780735308 |
|---|---|
| LBN Legal business name | Sudholt, Barbara Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Sep 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780735308 | NPPES |
| Illinois | Other | 2210404001 | CIGNA |
| Illinois | Other | 4466070 | CIGNA |
| Illinois | Other | 88170 | CIGNA |
| Illinois | Other | 371067092003 | CIGNA |
| Illinois | Other | L013062 | CIGNA |
| Illinois | Other | 122577 | CIGNA |
| Illinois | Other | 300242 | CIGNA |
| Illinois | Other | 08215136 | CIGNA |
| Illinois | Other | 48-09006 | CIGNA |
| Illinois | Other | BLC21543 | CIGNA |
| Illinois | Other | 235930 | CIGNA |
| Illinois | Other | 28568 | CIGNA |
| Illinois | MEDICAID | 36078217 | CIGNA |
| Illinois | Other | CF6007 | CIGNA |
| Illinois | Other | 8215136 | CIGNA |
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