Szopa, Bernard
Szopa, Bernard is an individual health care provider with primary practice located at 340 W Lincoln St Suite 500, Belleville IL 62220-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Szopa, Bernard can be contacted via phone (618) 277-7400.Contact Information
Primary practice address
340 W Lincoln St Suite 500
Belleville IL 62220-1900
Phone: (618) 277-7400
Fax: (618) 277-7422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036114710 | Illinois |
Profile Details
| NPI number | 1164480877 |
|---|---|
| LBN Legal business name | Szopa, Bernard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jun 18th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164480877 | NPPES |
| Illinois | MEDICAID | 036114710 |
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