Twanow, Richard W
Twanow, Richard W is an individual health care provider with primary practice located at 1302 N Greenwood St , Spring Valley IL 61362-1576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Twanow, Richard W can be contacted via phone (815) 663-5511.Contact Information
Primary practice address
1302 N Greenwood St
Spring Valley IL 61362-1576
Phone: (815) 663-5511
Fax: (815) 663-1528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036090695 | Illinois |
Profile Details
| NPI number | 1366558199 |
|---|---|
| LBN Legal business name | Twanow, Richard W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Aug 22nd, 2008 - about 16 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 | 1366558199 | NPPES |
| Illinois | MEDICAID | 036090695 |
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