Jagasia, Maya
Jagasia, Maya is an sole proprietor health care provider with primary practice located at 1909 Quail Run Cc Ct , Normal IL 61761-5210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Jagasia, Maya can be contacted via phone (309) 451-3699.Contact Information
Primary practice address
1909 Quail Run Cc Ct
Normal IL 61761-5210
Phone: (309) 451-3699
Fax: (904) 805-1302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 36053763 | Illinois |
Profile Details
| NPI number | 1821045089 |
|---|---|
| LBN Legal business name | Jagasia, Maya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2006 |
| Last updated | Mar 17th, 2008 - 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 | 1821045089 | NPPES |
| Illinois | MEDICAID | 0360537633 | |
| Illinois | Other | P00195135 |
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