Mcfadden, Jeffrey A

Mcfadden, Jeffrey A is an individual health care provider with primary practice located at 1850 Gateway Dr , Sycamore IL 60178-3192. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcfadden, Jeffrey A can be contacted via phone (815) 758-8671.

Contact Information

Primary practice address
1850 Gateway Dr Sycamore IL 60178-3192
Fax: (815) 758-5605
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02002556A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036104766 Illinois

Profile Details

NPI number 1487678652
LBN Legal business name Mcfadden, Jeffrey A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 7th, 2023 - about last year

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 1487678652 NPPES
North Carolina Other 147HR BCBS OF NC
North Carolina Other 02002556A BCBS OF NC
North Carolina Other 812085 BCBS OF NC
North Carolina Other 02002556B BCBS OF NC
North Carolina MEDICAID 5907839 BCBS OF NC
North Carolina Other 036104766 BCBS OF NC
North Carolina Other 336090764 BCBS OF NC

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