Ortiz, George

Ortiz, George is an individual health care provider with primary practice located at 1200 W Deyoung St , Marion IL 62959-4437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ortiz, George can be contacted via phone (618) 993-5686.

Contact Information

Primary practice address
1200 W Deyoung St Marion IL 62959-4437
Phone: (618) 993-5686
Fax: (618) 997-6250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2000160757 Missouri
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-078064 Illinois

Profile Details

NPI number 1588651939
LBN Legal business name Ortiz, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Feb 3rd, 2012 - about 14 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 1588651939 NPPES
Illinois MEDICAID 036078064
Illinois Other 133925
Illinois Other 101069
Illinois Other 180006269
Illinois Other 034235
Illinois MEDICAID 203419007
Illinois Other 237696

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