Draxinger, Kevin D

Draxinger, Kevin D is an individual health care provider with primary practice located at 1010 Fairway Dr , Freeport IL 61032-6600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Draxinger, Kevin D can be contacted via phone (815) 599-7730.

Contact Information

Primary practice address
1010 Fairway Dr Freeport IL 61032-6600
Phone: (815) 599-7730
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036110748 Illinois

Profile Details

NPI number 1164433926
LBN Legal business name Draxinger, Kevin D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Oct 20th, 2017 - about 9 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 1164433926 NPPES
Illinois Other P00364766 RAILROAD MEDICARE
Illinois MEDICAID 036110748 RAILROAD MEDICARE
Illinois Other 097147 RAILROAD MEDICARE

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