Mcelheny, Brian George

Mcelheny, Brian George is an individual health care provider with primary practice located at 207 W Jackson St Suite 101, Carbondale IL 62901-1408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcelheny, Brian George can be contacted via phone (618) 457-6787.

Contact Information

Primary practice address
207 W Jackson St Suite 101 Carbondale IL 62901-1408
Fax: (618) 549-9799
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036058838 Illinois

Profile Details

NPI number 1386603033
LBN Legal business name Mcelheny, Brian George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 31st, 2013 - about 12 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 1386603033 NPPES
Illinois MEDICAID 036058838

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