Brummer, Jeffrey
Brummer, Jeffrey is an individual health care provider with primary practice located at 1106 N Merchant St , Effingham IL 62401-2128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brummer, Jeffrey can be contacted via phone (217) 342-7000.Contact Information
Primary practice address
1106 N Merchant St
Effingham IL 62401-2128
Phone: (217) 342-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036112838 | Illinois |
Profile Details
| NPI number | 1265417851 |
|---|---|
| LBN Legal business name | Brummer, Jeffrey |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Oct 1st, 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 | 1265417851 | NPPES |
| Illinois | MEDICAID | 036112838 |
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