Sagins, Kenneth R.

Sagins, Kenneth R. is an individual health care provider with primary practice located at 400 Saint Johns Dr , Sherman IL 62684-9779. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sagins, Kenneth R. can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
400 Saint Johns Dr Sherman IL 62684-9779
Phone: (217) 528-7541
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036092193 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-092193 Illinois

Profile Details

NPI number 1275633968
LBN Legal business name Sagins, Kenneth R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated May 20th, 2020 - about 5 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 1275633968 NPPES
Illinois MEDICAID 036092193

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