Hunter-Reach, Pamela Kay

Hunter-Reach, Pamela Kay is an individual health care provider with primary practice located at 300 W Oak St , Carbondale IL 62901-1400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hunter-Reach, Pamela Kay can be contacted via phone (618) 536-6621.

Contact Information

Primary practice address
300 W Oak St Carbondale IL 62901-1400
Fax: (618) 453-1102
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-099509 Illinois

Profile Details

NPI number 1942208988
LBN Legal business name Hunter-Reach, Pamela Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jan 29th, 2024 - about 11 months 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 1942208988 NPPES
Illinois MEDICAID 036-099509
Illinois Other 411392
Illinois Other H05071
Illinois Other H05071
Illinois Other P00132466
Illinois Other 036099509
Illinois Other 052911
Illinois Other H05071

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