Jones, Janice K

Jones, Janice K is an individual health care provider with primary practice located at 1801 Windsor Rd , Champaign IL 61822-6217. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jones, Janice K can be contacted via phone (217) 366-1200.

Contact Information

Primary practice address
1801 Windsor Rd Champaign IL 61822-6217
Fax: (217) 366-6106
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085-003075 Illinois

Profile Details

NPI number 1114106002
LBN Legal business name Jones, Janice K
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Sep 25th, 2008 - about 16 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 1114106002 NPPES
Other 279500 MEDICARE GROUP
Other 085-003075 MEDICARE GROUP
Other P00440963 MEDICARE GROUP

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