Othman, Hasan Farid Hasan
Othman, Hasan Farid Hasan is an individual health care provider with primary practice located at 15 Founders Ln , Jacksonville IL 62650-3919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Othman, Hasan Farid Hasan can be contacted via phone (217) 243-0300.Contact Information
Primary practice address
15 Founders Ln
Jacksonville IL 62650-3919
Phone: (217) 243-0300
Fax: (217) 245-6775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036160282 | Illinois |
Profile Details
| NPI number | 1265091128 |
|---|---|
| LBN Legal business name | Othman, Hasan Farid Hasan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2019 |
| Last updated | Mar 28th, 2024 - about last year |
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 | 1265091128 | NPPES |
| Illinois | Other | 036160282 | IL MD LICENSE |
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