Sabbun, Richard

Sabbun, Richard is an individual health care provider with primary practice located at 2200 E Washington St , Bloomington IL 61701-4364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Sabbun, Richard can be contacted via phone (309) 665-5925.

Contact Information

Primary practice address
2200 E Washington St Bloomington IL 61701-4364
Phone: (309) 665-5925
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036-087141 Illinois

Profile Details

NPI number 1023045606
LBN Legal business name Sabbun, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 14th, 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 1023045606 NPPES
Illinois Other 05721369 BC/BS
Illinois Other P00442511 BC/BS

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