Takahashi, Ayame

Takahashi, Ayame is an individual health care provider with primary practice located at 319 E Madison St Fl 3 , Springfield IL 62701-1035. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Takahashi, Ayame can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
319 E Madison St Fl 3 Springfield IL 62701-1035
Fax: (217) 545-2275
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036-088729 Illinois

Profile Details

NPI number 1447365440
LBN Legal business name Takahashi, Ayame
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Oct 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447365440 NPPES
Illinois MEDICAID 036088729

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