Sadoff, John Douglas

Sadoff, John Douglas is an individual health care provider with primary practice located at 9 Park Pl , Swansea IL 62226-2967. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Sadoff, John Douglas can be contacted via phone (618) 233-5722.

Contact Information

Primary practice address
9 Park Pl Swansea IL 62226-2967
Phone: (618) 233-5722
Fax: (618) 233-7069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036110178 Illinois

Profile Details

NPI number 1619973765
LBN Legal business name Sadoff, John Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Mar 7th, 2023 - about 2 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 1619973765 NPPES
Missouri Other 011619579 BNDD
Missouri MEDICAID 036110178 BNDD
Missouri Other 036071034 BNDD
Missouri Other 2003022258 BNDD
Missouri Other 036110178 BNDD

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