Shah, Hasin
Shah, Hasin is an sole proprietor health care provider with primary practice located at 515 N Main Street , St Elmo IL 62458. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Shah, Hasin can be contacted via phone (618) 829-3200.Contact Information
Primary practice address
515 N Main Street
St Elmo IL 62458
Phone: (618) 829-3200
Fax: (618) 829-3970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 036053206 | Illinois |
Profile Details
| NPI number | 1750483657 |
|---|---|
| LBN Legal business name | Shah, Hasin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Sep 13th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750483657 | NPPES |
| Other | 371026381 | HL | |
| Other | 0002600030 | HL | |
| MEDICAID | 036053206 | HL |
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