Meng, Philip B
Meng, Philip B is an individual health care provider with primary practice located at 800 East Carpenter Street Room 2K64, Springfield IL 62769-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Meng, Philip B can be contacted via phone (217) 525-5643.Contact Information
Primary practice address
800 East Carpenter Street Room 2K64
Springfield IL 62769-0001
Phone: (217) 525-5643
Fax: (217) 544-2521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 041268080 | Illinois |
Profile Details
| NPI number | 1376531210 |
|---|---|
| LBN Legal business name | Meng, Philip B |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Feb 7th, 2017 - about 9 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 | 1376531210 | NPPES |
| Illinois | Other | 209-005618 | IL APN LICENSE # |
| Illinois | Other | 46801 | IL APN LICENSE # |
| Illinois | Other | L031806 | IL APN LICENSE # |
| Illinois | Other | 041268080 | IL APN LICENSE # |
| Illinois | Other | 0841504038 | IL APN LICENSE # |
| Illinois | Other | 031304 | IL APN LICENSE # |
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