Plummer, Lawrence B

Plummer, Lawrence B is an individual health care provider with primary practice located at 1600 W Walnut St , Jacksonville IL 62650-1136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Plummer, Lawrence B can be contacted via phone (217) 245-9541.

Contact Information

Primary practice address
1600 W Walnut St Jacksonville IL 62650-1136
Fax: (217) 479-8781
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Illinois

Profile Details

NPI number 1538292636
LBN Legal business name Plummer, Lawrence B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 9th, 2007 - about 17 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 1538292636 NPPES
Illinois Other P00014745 MEDICARE RR
Illinois Other 061139 MEDICARE RR

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