Birk, Carl Peter

Birk, Carl Peter is an sole proprietor health care provider with primary practice located at 302 W Hay St Ste 140, Decatur IL 62526-4167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Birk, Carl Peter can be contacted via phone (217) 876-2730.

Contact Information

Primary practice address
302 W Hay St Ste 140 Decatur IL 62526-4167
Fax: (217) 876-2735
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036042482 Illinois

Profile Details

NPI number 1386601391
LBN Legal business name Birk, Carl Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Oct 10th, 2008 - about 17 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 1386601391 NPPES
Illinois MEDICAID 036042482

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