Mestan, Robert E

Mestan, Robert E is an individual health care provider with primary practice located at 535 Park Ave E , Princeton IL 61356-2537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mestan, Robert E can be contacted via phone (815) 875-4531.

Contact Information

Primary practice address
535 Park Ave E Princeton IL 61356-2537
Phone: (815) 875-4531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036053231 Illinois

Profile Details

NPI number 1659312924
LBN Legal business name Mestan, Robert E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Oct 15th, 2020 - about 6 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 1659312924 NPPES
Illinois Other 010033055 RAILROAD MEDICARE
Illinois MEDICAID 036053231 RAILROAD MEDICARE

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