Meisenbach, Joseph A
Meisenbach, Joseph A is an individual health care provider with primary practice located at 455 W. Court St. Suite 202, Kankakee IL 60901-3693. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Meisenbach, Joseph A can be contacted via phone (815) 935-1161.Contact Information
Primary practice address
455 W. Court St. Suite 202
Kankakee IL 60901-3693
Phone: (815) 935-1161
Fax: (815) 932-3678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036053943 | Illinois |
Profile Details
| NPI number | 1689622250 |
|---|---|
| LBN Legal business name | Meisenbach, Joseph A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Mar 2nd, 2011 - about 13 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 | 1689622250 | NPPES |
| Illinois | MEDICAID | 036053943 |
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