Durrant, Audrey Carmelita

Durrant, Audrey Carmelita is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2529. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Durrant, Audrey Carmelita can be contacted via phone (217) 383-3311.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2529
Phone: (217) 383-3311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X P5970 Texas
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X P5970 Texas
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD-43496 Iowa
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 01072122A Indiana
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X ME115460 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X 036160787 Illinois

Profile Details

NPI number 1437304722
LBN Legal business name Durrant, Audrey Carmelita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2008
Last updated Nov 29th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437304722 NPPES
Florida MEDICAID 103854500
Florida MEDICAID 3249054-02
Florida Other V4Z99

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