Whalen, Cornelius Edward
Whalen, Cornelius Edward is an sole proprietor health care provider with primary practice located at 925 18Th St , Charleston IL 61920-2938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Whalen, Cornelius Edward can be contacted via phone (217) 345-2123.Contact Information
Primary practice address
925 18Th St
Charleston IL 61920-2938
Phone: (217) 345-2123
Fax: (217) 345-3907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036059817 | Illinois |
Profile Details
| NPI number | 1184774564 |
|---|---|
| LBN Legal business name | Whalen, Cornelius Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184774564 | NPPES |
| Illinois | MEDICAID | 036059817 |
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