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
Fax: (815) 932-3678
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689622250 NPPES
Illinois MEDICAID 036053943

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