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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205828084 | NPPES |
Illinois | MEDICAID | 036071352 |
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