Oliphant, Uretz John

Oliphant, Uretz John is an individual health care provider with primary practice located at 200 Lerna Rd S , Mattoon IL 61938-9388. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Oliphant, Uretz John can be contacted via phone (217) 258-5900.

Contact Information

Primary practice address
200 Lerna Rd S Mattoon IL 61938-9388
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036072317 Illinois

Profile Details

NPI number 1033154109
LBN Legal business name Oliphant, Uretz John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Mar 30th, 2022 - about 2 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 1033154109 NPPES
Illinois Other 1255380846 CLINIC GROUP NPI
Illinois MEDICAID 036072317 CLINIC GROUP NPI
Illinois Other 1033154109 CLINIC GROUP NPI
Illinois Other 754210 CLINIC GROUP NPI

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