Sudkamp, John
Sudkamp, John is an individual health care provider with primary practice located at 602 West University Ave , Urbana IL 61801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Sudkamp, John can be contacted via phone (217) 383-3303.Contact Information
Primary practice address
602 West University Ave
Urbana IL 61801
Phone: (217) 383-3303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036105989 | Illinois |
Profile Details
| NPI number | 1730141524 |
|---|---|
| LBN Legal business name | Sudkamp, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Jun 18th, 2012 - about 14 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 | 1730141524 | NPPES |
| Illinois | MEDICAID | 036105989 |
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