Wesly, Osvaldo H
Wesly, Osvaldo H is an sole proprietor health care provider with primary practice located at 105 S. Amos Ave , Springfield IL 62704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Wesly, Osvaldo H can be contacted via phone (217) 546-7100.Contact Information
Primary practice address
105 S. Amos Ave
Springfield IL 62704
Phone: (217) 546-7100
Fax: (217) 546-7111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 036-089289 | Illinois |
Profile Details
| NPI number | 1356441943 |
|---|---|
| LBN Legal business name | Wesly, Osvaldo H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2006 |
| Last updated | Apr 27th, 2016 - about 8 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 | 1356441943 | NPPES |
| Illinois | MEDICAID | 036089289 |
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