Appenheimer, Alpheus T

Appenheimer, Alpheus T is an individual health care provider with primary practice located at Ksb Medical Group 102 S Hennepin Ave, Dixon IL 61021. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Appenheimer, Alpheus T can be contacted via phone (815) 288-7711.

Contact Information

Primary practice address
Ksb Medical Group 102 S Hennepin Ave Dixon IL 61021
Phone: (815) 288-7711
Fax: (815) 285-8903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-058868 Illinois
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 036-058868 Illinois
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 036-058868 Illinois

Profile Details

NPI number 1417937632
LBN Legal business name Appenheimer, Alpheus T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Aug 27th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417937632 NPPES
Illinois MEDICAID 036058868

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