Cecil, James

Cecil, James is an sole proprietor health care provider with primary practice located at 834 N Seminary St Ste 501, Galesburg IL 61401-2852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Cecil, James can be contacted via phone (309) 343-2640.

Contact Information

Primary practice address
834 N Seminary St Ste 501 Galesburg IL 61401-2852
Phone: (309) 343-2640
Fax: (309) 343-2663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-085396 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X R7721 Missouri

Profile Details

NPI number 1700881471
LBN Legal business name Cecil, James
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated Dec 19th, 2012 - 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 1700881471 NPPES
Illinois MEDICAID 036-085396

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