Rians, Clark B
Rians, Clark B is an individual health care provider with primary practice located at 303 N William Kumpf Blvd , Peoria IL 61605-2507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Rians, Clark B can be contacted via phone (309) 676-5546.Contact Information
Primary practice address
303 N William Kumpf Blvd
Peoria IL 61605-2507
Phone: (309) 676-5546
Fax: (309) 647-6504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207RS0010X | 36067263 | Illinois |
Profile Details
| NPI number | 1568462687 |
|---|---|
| LBN Legal business name | Rians, Clark B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Dec 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568462687 | NPPES |
| Illinois | MEDICAID | 36067263 |
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