Hsu, John W

Hsu, John W is an sole proprietor health care provider with primary practice located at 200 E Pennsylvania Ave Suite 212, Peoria IL 61603-3089. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Hsu, John W can be contacted via phone (309) 676-8123.

Contact Information

Primary practice address
200 E Pennsylvania Ave Suite 212 Peoria IL 61603-3089
Phone: (309) 676-8123
Fax: (309) 676-8455
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 43890 Arizona
Allopathic & Osteopathic Physicians / Surgery 208600000X MD433479 Pennsylvania
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 036129902 Illinois

Profile Details

NPI number 1043439748
LBN Legal business name Hsu, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Oct 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043439748 NPPES
Pennsylvania MEDICAID 102548086
Pennsylvania MEDICAID 569040
Pennsylvania Other 202466

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