Western, Gary Brett
Western, Gary Brett is an individual health care provider with primary practice located at 800 N. 1St Street , Springfield IL 62702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Western, Gary Brett can be contacted via phone (217) 528-7541.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 036-106083 | Illinois |
Profile Details
| NPI number | 1457462558 |
|---|---|
| LBN Legal business name | Western, Gary Brett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 19th, 2020 - about 5 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 | 1457462558 | NPPES |
| Illinois | MEDICAID | 036106083 |
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