Jones, Douglas J.
Jones, Douglas J. is an individual health care provider with primary practice located at 3101 Fields South Dr , Champaign IL 61822-3743. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jones, Douglas J. can be contacted via phone (217) 366-1228.Contact Information
Primary practice address
3101 Fields South Dr
Champaign IL 61822-3743
Phone: (217) 366-1228
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036-109246 | Illinois |
Profile Details
| NPI number | 1649287210 |
|---|---|
| LBN Legal business name | Jones, Douglas J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jan 5th, 2022 - about 3 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 | 1649287210 | NPPES |
| Illinois | MEDICAID | 036109246 1 | |
| Illinois | Other | P00058304 | |
| Illinois | Other | 279500 |
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