Victor, Jeff T
Victor, Jeff T is an individual health care provider with primary practice located at 2455 Dean St Ste A&B , St Charles IL 60175-4830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Victor, Jeff T can be contacted via phone (630) 208-7388.Contact Information
Primary practice address
2455 Dean St Ste A&B
St Charles IL 60175-4830
Phone: (630) 208-7388
Fax: (630) 208-4818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036102795 | Illinois |
Profile Details
| NPI number | 1104824887 |
|---|---|
| LBN Legal business name | Victor, Jeff T |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | May 7th, 2021 - about 3 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 | 1104824887 | NPPES |
| Illinois | Other | 203529 | MEDICARE GROUP |
| Illinois | MEDICAID | 36102795 | MEDICARE GROUP |
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