Alfrey, Edward John

Alfrey, Edward John is an individual health care provider with primary practice located at 751 N Rutledge St Room 1700, Springfield IL 62702-4909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Alfrey, Edward John can be contacted via phone (217) 545-5878.

Contact Information

Primary practice address
751 N Rutledge St Room 1700 Springfield IL 62702-4909
Phone: (217) 545-5878
Fax: (217) 545-1793
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 036-114340 Illinois
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X G72742 California

Profile Details

NPI number 1992773311
LBN Legal business name Alfrey, Edward John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Sep 8th, 2011 - about 13 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 1992773311 NPPES
Illinois MEDICAID 036114340

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