Swanson, James E

Swanson, James E is an individual health care provider with primary practice located at 1401 Eastland Dr , Bloomington IL 61701-3514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Swanson, James E can be contacted via phone (309) 663-8311.

Contact Information

Primary practice address
1401 Eastland Dr Bloomington IL 61701-3514
Phone: (309) 663-8311
Fax: (309) 663-1810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036057207 Illinois

Profile Details

NPI number 1538146394
LBN Legal business name Swanson, James E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Apr 24th, 2012 - 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 1538146394 NPPES
Illinois Other 5715384 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036057207 BLUE CROSS BLUE SHIELD

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