Houston, Jessie G

Houston, Jessie G is an individual health care provider with primary practice located at 602 W University Ave , Urbana IL 61801-2530. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Houston, Jessie G can be contacted via phone (217) 383-3311.

Contact Information

Primary practice address
602 W University Ave Urbana IL 61801-2530
Phone: (217) 383-3311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036046935 Illinois

Profile Details

NPI number 1831224666
LBN Legal business name Houston, Jessie G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated May 20th, 2011 - about 14 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 1831224666 NPPES
Illinois Other 0533210001 DMERC

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