Barnell, Phillip
Barnell, Phillip is an individual health care provider with primary practice located at 1800 E Lake Shore Dr , Decatur IL 62521-3810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Barnell, Phillip can be contacted via phone (217) 464-2966.Contact Information
Primary practice address
1800 E Lake Shore Dr
Decatur IL 62521-3810
Phone: (217) 464-2966
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-071347 | Illinois |
Profile Details
| NPI number | 1114943057 |
|---|---|
| LBN Legal business name | Barnell, Phillip |
| Credentials | M.D., FAAFP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Dec 17th, 2021 - 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 | 1114943057 | NPPES |
| Illinois | MEDICAID | 036071347 |
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