Arendell, Jeffrey D

Arendell, Jeffrey D is an individual health care provider with primary practice located at 2100 Madison Ave , Granite City IL 62040-4701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Arendell, Jeffrey D can be contacted via phone (618) 798-6300.

Contact Information

Primary practice address
2100 Madison Ave Granite City IL 62040-4701
Phone: (618) 798-6300
Fax: (618) 798-3716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036086735 Illinois

Profile Details

NPI number 1386668218
LBN Legal business name Arendell, Jeffrey D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jan 21st, 2009 - about 15 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 1386668218 NPPES
Illinois Other 3932056 BLUE SHIELD
Illinois MEDICAID 036086735-3 BLUE SHIELD

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