Baxter, William

Baxter, William is an individual health care provider with primary practice located at 920 W Prairie Dr Suite J, Sycamore IL 60178-3123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Baxter, William can be contacted via phone (815) 895-3354.

Contact Information

Primary practice address
920 W Prairie Dr Suite J Sycamore IL 60178-3123
Phone: (815) 895-3354
Fax: (815) 895-3345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036094196 Illinois

Profile Details

NPI number 1063496875
LBN Legal business name Baxter, William
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Jul 30th, 2013 - about 13 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 1063496875 NPPES
Illinois MEDICAID 036094196

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