Kurley, James Matthew

Kurley, James Matthew is an sole proprietor health care provider with primary practice located at 2111 W Park Ct , Champaign IL 61821-2986. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Kurley, James Matthew can be contacted via phone (217) 356-3850.

Contact Information

Primary practice address
2111 W Park Ct Champaign IL 61821-2986
Phone: (217) 356-3850
Fax: (217) 356-3876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 036076147 Illinois

Profile Details

NPI number 1720176274
LBN Legal business name Kurley, James Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Aug 4th, 2011 - about 14 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 1720176274 NPPES
Illinois MEDICAID 036076147

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