Dawdy, John Kersey
Dawdy, John Kersey is an individual health care provider with primary practice located at 201 Health Care Dr , Greenville IL 62246-1155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dawdy, John Kersey can be contacted via phone (618) 664-1380.Contact Information
Primary practice address
201 Health Care Dr
Greenville IL 62246-1155
Phone: (618) 664-1380
Fax: (618) 664-4239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0036044169 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036044169 | Illinois |
Profile Details
| NPI number | 1598759201 |
|---|---|
| LBN Legal business name | Dawdy, John Kersey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Dec 20th, 2021 - about 3 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 | 1598759201 | NPPES |
| Illinois | MEDICAID | 036044169 |
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