Fletcher, David J

Fletcher, David J is an individual health care provider with primary practice located at 1806 N Market St , Champaign IL 61822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Fletcher, David J can be contacted via phone (217) 356-6150.

Contact Information

Primary practice address
1806 N Market St Champaign IL 61822
Phone: (217) 356-6150
Fax: (217) 356-7167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036071408 Illinois
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 036071408 Illinois

Profile Details

NPI number 1639243868
LBN Legal business name Fletcher, David J
Credentials MD MPH FACOEM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Oct 18th, 2012 - 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 1639243868 NPPES
Illinois MEDICAID K25107
Illinois MEDICAID 213008

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