Ausfahl, James D

Ausfahl, James D is an individual health care provider with primary practice located at 1120 E War Memorial Dr , Peoria Heights IL 61616-7757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ausfahl, James D can be contacted via phone (309) 685-0100.

Contact Information

Primary practice address
1120 E War Memorial Dr Peoria Heights IL 61616-7757
Phone: (309) 685-0100
Fax: (309) 685-0172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036059777 Illinois

Profile Details

NPI number 1518058619
LBN Legal business name Ausfahl, James D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 1st, 2010 - about 16 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 1518058619 NPPES
Illinois Other L06046 PIN NUMBER

Popular Providers