Dooley, John Thomas
Dooley, John Thomas is an sole proprietor health care provider with primary practice located at 900 Main St Ste 660 , Peoria IL 61602-1060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Dooley, John Thomas can be contacted via phone (309) 672-4670.Contact Information
Primary practice address
900 Main St Ste 660
Peoria IL 61602-1060
Phone: (309) 672-4670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 152376 | Massachusetts |
Profile Details
| NPI number | 1386625895 |
|---|---|
| LBN Legal business name | Dooley, John Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Jun 20th, 2024 - about 6 months 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 | 1386625895 | NPPES |
| Massachusetts | MEDICAID | 0195570 |
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