Lundy, James Robert
Lundy, James Robert is an sole proprietor health care provider with primary practice located at 320 E Highway 50 , O Fallon IL 62269-2704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lundy, James Robert can be contacted via phone (618) 624-3368.Contact Information
Primary practice address
320 E Highway 50
O Fallon IL 62269-2704
Phone: (618) 624-3368
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17859 | Mississippi |
Profile Details
| NPI number | 1245287085 |
|---|---|
| LBN Legal business name | Lundy, James Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2006 |
| Last updated | Nov 19th, 2009 - about 15 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 | 1245287085 | NPPES |
| Mississippi | MEDICAID | 00126879 |
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