Cundiff, Jerald E

Cundiff, Jerald E is an individual health care provider with primary practice located at 101 E Miller Rd , Sterling IL 61081. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cundiff, Jerald E can be contacted via phone (815) 625-4790.

Contact Information

Primary practice address
101 E Miller Rd Sterling IL 61081
Phone: (815) 625-4790
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 38957 Wisconsin

Profile Details

NPI number 1629068135
LBN Legal business name Cundiff, Jerald E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jul 19th, 2018 - about 7 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 1629068135 NPPES
Minnesota MEDICAID 291023300
Minnesota MEDICAID 32545800

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