Lipoff, Jay I
Lipoff, Jay I is an sole proprietor health care provider with primary practice located at 8316 Express Dr , Marion IL 62959-5895. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Lipoff, Jay I can be contacted via phone (618) 998-8447.Contact Information
Primary practice address
8316 Express Dr
Marion IL 62959-5895
Phone: (618) 998-8447
Fax: (618) 998-9787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036099740 | Illinois |
Profile Details
| NPI number | 1467453761 |
|---|---|
| LBN Legal business name | Lipoff, Jay I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Dec 22nd, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467453761 | NPPES |
| Illinois | MEDICAID | 036099740I |
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