West, David S

West, David S is an individual health care provider with primary practice located at 1505 Eastland Dr Suite 320, Bloomington IL 61701-3534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. West, David S can be contacted via phone (309) 661-2368.

Contact Information

Primary practice address
1505 Eastland Dr Suite 320 Bloomington IL 61701-3534
Phone: (309) 661-2368
Fax: (309) 662-9709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036-092200 Illinois

Profile Details

NPI number 1790714285
LBN Legal business name West, David S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Oct 24th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790714285 NPPES
Illinois MEDICAID 036092200
Illinois Other IL2613

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