Sauder, Sue E

Sauder, Sue E is an individual health care provider with primary practice located at 507 E Armstrong Regional Development Center, Peoria IL 61603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Sauder, Sue E can be contacted via phone (309) 681-6960.

Contact Information

Primary practice address
507 E Armstrong Regional Development Center Peoria IL 61603
Phone: (309) 681-6960
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 036069335 Illinois

Profile Details

NPI number 1710955885
LBN Legal business name Sauder, Sue E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Feb 3rd, 2014 - 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 1710955885 NPPES
Illinois MEDICAID 036069335
Illinois Other 07215036

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