Lygrisse, Daniel Richard
Lygrisse, Daniel Richard is an individual health care provider with primary practice located at 104 E Ashland Ave , Mt Zion IL 62549-1271. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Lygrisse, Daniel Richard can be contacted via phone (217) 864-2665.Contact Information
Primary practice address
104 E Ashland Ave
Mt Zion IL 62549-1271
Phone: (217) 864-2665
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 34.013284 | Ohio |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 5101020360 | Michigan |
Profile Details
| NPI number | 1518306489 |
|---|---|
| LBN Legal business name | Lygrisse, Daniel Richard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2013 |
| Last updated | Jul 13th, 2022 - about 4 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 | 1518306489 | NPPES |
| Ohio | Other | H601150 | MEDICARE |
| Ohio | MEDICAID | 0282518 | MEDICARE |
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