Fischer, Jacqueline
Fischer, Jacqueline is an individual health care provider with primary practice located at Dept Of Internal Medicine 530 Ne Glen Oak, Peoria IL 61637-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fischer, Jacqueline can be contacted via phone (309) 655-3292.Contact Information
Primary practice address
Dept Of Internal Medicine 530 Ne Glen Oak
Peoria IL 61637-0001
Phone: (309) 655-3292
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Illinois |
Profile Details
| NPI number | 1417921024 |
|---|---|
| LBN Legal business name | Fischer, Jacqueline |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1417921024 | NPPES |
| Illinois | Other | IL0104 | JOHN DEERE |
| Illinois | Other | 07215036 | JOHN DEERE |
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