Treviranus, Kim
Treviranus, Kim is an individual health care provider with primary practice located at 101 E Miller Rd , Sterling IL 61081-1252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as his primary health care specialty. Treviranus, Kim can be contacted via phone (815) 625-4790.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 036061910 | Illinois |
Profile Details
| NPI number | 1225118128 |
|---|---|
| LBN Legal business name | Treviranus, Kim |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Nov 13th, 2018 - about 6 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 | 1225118128 | NPPES |
| Illinois | Other | 9815737 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 091400 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 036061910 | BLUE CROSS BLUE SHIELD |
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