Minton, Judy Ann
Minton, Judy Ann is an individual health care provider with primary practice located at 656 Waterford Ln , Decatur IL 62526-9386. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Minton, Judy Ann can be contacted via phone (217) 454-4295.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209-000703 | Illinois |
Profile Details
NPI number | 1326010463 |
---|---|
LBN Legal business name | Minton, Judy Ann |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 3rd, 2006 |
Last updated | Oct 29th, 2015 - about 10 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 | 1326010463 | NPPES |
Illinois | MEDICAID | 041202013 |
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