Feldott-Johnson, Debra Christine

Feldott-Johnson, Debra Christine is an sole proprietor health care provider with primary practice located at 1250 Mercantile Dr , Highland IL 62249-1239. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Feldott-Johnson, Debra Christine can be contacted via phone (618) 654-4449.

Contact Information

Primary practice address
1250 Mercantile Dr Highland IL 62249-1239
Phone: (618) 654-4449
Fax: (618) 654-3974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-101335 Illinois

Profile Details

NPI number 1184616286
LBN Legal business name Feldott-Johnson, Debra Christine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2005
Last updated Oct 13th, 2011 - about 13 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 1184616286 NPPES
Illinois MEDICAID 036101335

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