Mistry, Jehangir P

Mistry, Jehangir P is an sole proprietor health care provider with primary practice located at 2535 Bethany Road Suite 107, Sycamore IL 60178. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Mistry, Jehangir P can be contacted via phone (815) 756-6611.

Contact Information

Primary practice address
2535 Bethany Road Suite 107 Sycamore IL 60178
Phone: (815) 756-6611
Fax: (815) 756-8441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036054240 Illinois

Profile Details

NPI number 1942381439
LBN Legal business name Mistry, Jehangir P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Dec 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942381439 NPPES
Illinois Other 0001900112 BCBS
Illinois MEDICAID 036054240 BCBS
Illinois Other 611489100 BCBS

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