Sapying, Atisak

Sapying, Atisak is an individual health care provider with primary practice located at 2170 Pearl St , Belvidere IL 61008-6020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sapying, Atisak can be contacted via phone (815) 547-5461.

Contact Information

Primary practice address
2170 Pearl St Belvidere IL 61008-6020
Phone: (815) 547-5461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036079150 Illinois

Profile Details

NPI number 1982694980
LBN Legal business name Sapying, Atisak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Oct 1st, 2015 - about 11 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 1982694980 NPPES
Illinois Other 036079150 IL STATE LICENSE
Illinois MEDICAID 036079150 IL STATE LICENSE

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