Prange, Jessica Jean

Prange, Jessica Jean is an individual health care provider with primary practice located at 503 N Maple St , Effingham IL 62401-2006. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Prange, Jessica Jean can be contacted via phone (217) 342-2121.

Contact Information

Primary practice address
503 N Maple St Effingham IL 62401-2006
Phone: (217) 342-2121
Fax: (217) 347-1563
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0036.137347 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1306089024
LBN Legal business name Prange, Jessica Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2009
Last updated Dec 21st, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306089024 NPPES
Illinois MEDICAID 036137347
Illinois Other P01514409

Popular Providers