Cunningham, Maria Louise
Cunningham, Maria Louise is an individual health care provider with primary practice located at 916 Talon Dr Suite 102, O Fallon IL 62269-1848. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Cunningham, Maria Louise can be contacted via phone (618) 628-8211.Contact Information
Primary practice address
916 Talon Dr Suite 102
O Fallon IL 62269-1848
Phone: (618) 628-8211
Fax: (618) 628-0883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 070018731 | Illinois |
Profile Details
| NPI number | 1881979623 |
|---|---|
| LBN Legal business name | Cunningham, Maria Louise |
| Credentials | LPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2011 |
| Last updated | Dec 19th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881979623 | NPPES |
| Illinois | Other | 900068033 | HNFS TRICARE NORTH REGION |
| Illinois | Other | 900068033 | HNFS TRICARE NORTH REGION |
| Illinois | Other | 900068033 | HNFS TRICARE NORTH REGION |
| Illinois | Other | 900068033 | HNFS TRICARE NORTH REGION |
| Illinois | Other | 900068033 | HNFS TRICARE NORTH REGION |
| Illinois | Other | 900068033 | HNFS TRICARE NORTH REGION |
| Illinois | Other | 146703 | HNFS TRICARE NORTH REGION |
| Illinois | Other | 900068033 | HNFS TRICARE NORTH REGION |
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