Ahearn, Michael A
Ahearn, Michael A is an sole proprietor health care provider with primary practice located at 519 Elliott St Suite S1, Kewanee IL 61443-2796. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ahearn, Michael A can be contacted via phone (309) 853-2442.Contact Information
Primary practice address
519 Elliott St Suite S1
Kewanee IL 61443-2796
Phone: (309) 853-2442
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036074050 | Illinois |
Profile Details
| NPI number | 1184687717 |
|---|---|
| LBN Legal business name | Ahearn, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2006 |
| Last updated | May 27th, 2020 - about 4 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 | 1184687717 | NPPES |
| Illinois | Other | 36074050 | BCBS |
| Illinois | Other | P00196862 | BCBS |
| Illinois | MEDICAID | 036074050 | BCBS |
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