Archey, Jo Ann
Archey, Jo Ann is an individual health care provider with primary practice located at 209 W Borman Dr , Rantoul IL 61866-3632. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Archey, Jo Ann can be contacted via phone (217) 892-9671.Contact Information
Primary practice address
209 W Borman Dr
Rantoul IL 61866-3632
Phone: (217) 892-9671
Fax: (217) 892-2530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-110125 | Illinois |
Profile Details
| NPI number | 1104831627 |
|---|---|
| LBN Legal business name | Archey, Jo Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jan 5th, 2022 - about 3 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 | 1104831627 | NPPES |
| Illinois | MEDICAID | 036110125 1 | |
| Illinois | Other | P00129449 | |
| Illinois | Other | 279500 |
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