Victor Cepeda
Infectious Disease
3314 Patriot Ct
Herrin
, Illinois 62948
Victor Cepeda
Infectious Disease
3314 Patriot Ct
Herrin
, Illinois 62948
(618) 457-5200
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Victor Cepeda
- Po Box 3988
- Carbondale, IL
- Zip : 62902-3988
- Phone : (618) 457-5200
Second Address
- Victor Cepeda
- 3314 Patriot Ct
- Herrin, IL
- Zip : 62948
- Fax : (618) 993-1595
- Phone : (618) 993-1591
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | 036.147979 | IL |
National Provider Identifier
| NPI | 1033524715 |
|---|---|
| Provider Name | Victor Cepeda |
| First Address | Carbondale, IL 62902-3988 |
| Second Address | Herrin, IL 62948 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2014 |
| Last Update Date | 14/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036147979 | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.