Bismack, Gregory Thomas

Bismack, Gregory Thomas is an individual health care provider with primary practice located at 503 N Maple St , Effingham IL 62401-2006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bismack, Gregory Thomas can be contacted via phone (217) 342-2121.

Contact Information

Primary practice address
503 N Maple St Effingham IL 62401-2006
Phone: (217) 342-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301097035 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036.155470 Illinois

Profile Details

NPI number 1619293149
LBN Legal business name Bismack, Gregory Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2010
Last updated Dec 5th, 2022 - about 3 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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