Junker, Jessie Ann

Junker, Jessie Ann is an individual health care provider with primary practice located at 250 W Kenwood Ave , Decatur IL 62656. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Junker, Jessie Ann can be contacted via phone (217) 876-5800.

Contact Information

Primary practice address
250 W Kenwood Ave Decatur IL 62656
Phone: (217) 876-5800
Fax: (217) 876-5822
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31547 North Carolina

Profile Details

NPI number 1205828084
LBN Legal business name Junker, Jessie Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Nov 17th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205828084 NPPES
Illinois MEDICAID 036071352

Popular Providers