Jeisy, Lawrence
Jeisy, Lawrence is an individual health care provider with primary practice located at 2300 N Edward St , Decatur IL 62526-4163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jeisy, Lawrence can be contacted via phone (217) 876-3000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | Illinois |
Profile Details
| NPI number | 1912076233 |
|---|---|
| LBN Legal business name | Jeisy, Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1912076233 | NPPES |
| Illinois | MEDICAID | 036067063-2 | |
| Illinois | Other | 05823820 |
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