S David Ross Ii Sc

LBN: S David Ross Ii Sc
S David Ross Ii Sc is an health care organization with primary practice located at 2524 Farragut Dr , Springfield IL 62704-8400. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. S David Ross Ii Sc can be contacted via phone (217) 726-8820, or through Ross, S David via phone (217) 726-8820.

Contact Information

Primary practice address
2524 Farragut Dr Springfield IL 62704-8400
Phone: (217) 726-8820
Fax: (217) 726-6796
Website:
Map and Directions
Authorized official contact:
Name: Ross, S David Doctor of Medicine (MD)
Phone: (217) 726-8820

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036041875 Illinois

Profile Details

NPI number 1649202946
LBN Legal business name S David Ross Ii Sc
DBA Doing business as
Authorized official Ross, S David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 22nd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649202946 NPPES
Illinois MEDICAID 036041875

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