Wollstadt, Loyd J

Wollstadt, Loyd J is an individual health care provider with primary practice located at 405 Charles St University Primary Care Clinic Mt Morris, Mount Morris IL 61054-1646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wollstadt, Loyd J can be contacted via phone (815) 734-6061.

Contact Information

Primary practice address
405 Charles St University Primary Care Clinic Mt Morris Mount Morris IL 61054-1646
Phone: (815) 734-6061
Fax: (815) 734-9021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036050197 Illinois

Profile Details

NPI number 1356332498
LBN Legal business name Wollstadt, Loyd J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Sep 3rd, 2010 - about 16 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 1356332498 NPPES
Illinois MEDICAID 036050197
Illinois Other 036050197

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