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Contact Information

ALPHEUS T APPENHEIMER, MD
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL61021
 Phone: 815-288-7711
 Fax: 815-285-8903
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ALPHEUS T APPENHEIMER · (Male)

NPI # 1417937632
Status Active
Credentials MD
Entity Individual
Enumeration date 01/23/2006
Last updated 08/27/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-058868
  • IL Medicaid 036058868
Hospital affiliation(s)
  • KATHERINE SHAW BETHEA HOSPITAL - (Acute Care)
    403 E 1ST ST
    DIXON, IL 61021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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