Trupin, Suzanne R
Trupin, Suzanne R is an sole proprietor health care provider with primary practice located at 2109 S Neil St , Champaign IL 61820-7266. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Trupin, Suzanne R can be contacted via phone (217) 356-3736.Contact Information
Primary practice address
2109 S Neil St
Champaign IL 61820-7266
Phone: (217) 356-3736
Fax: (217) 953-0885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036062169 | Illinois |
Profile Details
| NPI number | 1750374807 |
|---|---|
| LBN Legal business name | Trupin, Suzanne R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jun 2nd, 2022 - about 2 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 | 1750374807 | NPPES |
| Illinois | MEDICAID | 036062169 | |
| Illinois | Other | 1000335 |
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