Jones, Glyn E.

Jones, Glyn E. is an individual health care provider with primary practice located at 1001 Main Street 3Rd Floor, Peoria IL 61606-2037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Jones, Glyn E. can be contacted via phone (309) 495-0200.

Contact Information

Primary practice address
1001 Main Street 3Rd Floor Peoria IL 61606-2037
Phone: (309) 495-0200
Fax: (309) 676-6545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 036118115 Illinois

Profile Details

NPI number 1366462475
LBN Legal business name Jones, Glyn E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Oct 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366462475 NPPES
Other 7215166 BCBS OF ILLINOIS
MEDICAID 036118115-1 BCBS OF ILLINOIS
Other K37419 BCBS OF ILLINOIS

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