Selgestad, John Gregory

Selgestad, John Gregory is an individual health care provider with primary practice located at 403 E 1St St , Dixon IL 61021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Selgestad, John Gregory can be contacted via phone (815) 288-5531.

Contact Information

Primary practice address
403 E 1St St Dixon IL 61021
Phone: (815) 288-5531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-057471 Illinois

Profile Details

NPI number 1518935014
LBN Legal business name Selgestad, John Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Aug 23rd, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518935014 NPPES
Illinois MEDICAID 036-057471

Popular Providers