Concepcion, Paul Joseph
Concepcion, Paul Joseph is an sole proprietor health care provider with primary practice located at 129 Country Club Dr , Bloomingdale IL 60108-1265. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Concepcion, Paul Joseph can be contacted via phone (630) 924-8112.Contact Information
Primary practice address
129 Country Club Dr
Bloomingdale IL 60108-1265
Phone: (630) 924-8112
Fax: (630) 924-0651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036034522 | Illinois |
Profile Details
| NPI number | 1043581119 |
|---|---|
| LBN Legal business name | Concepcion, Paul Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2012 |
| Last updated | Jan 22nd, 2012 - about 14 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 | 1043581119 | NPPES |
| Illinois | Other | 036034522 | ILLINOIS LICENSE |
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