Hummel, Karen Diane

Hummel, Karen Diane is an individual health care provider with primary practice located at 1441 W Broadway , Centralia IL 62801-5613. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hummel, Karen Diane can be contacted via phone (618) 532-9050.

Contact Information

Primary practice address
1441 W Broadway Centralia IL 62801-5613
Phone: (618) 532-9050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085002330 Illinois

Profile Details

NPI number 1356392245
LBN Legal business name Hummel, Karen Diane
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Nov 23rd, 2020 - about 5 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 1356392245 NPPES
Illinois Other P00619153 MEDICARE RR NUMBER
Illinois Other DD8320 MEDICARE RR NUMBER
Illinois Other 208959 MEDICARE RR NUMBER

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