Beer, Cody
Beer, Cody is an sole proprietor health care provider with primary practice located at 3400 Griffin Ave , Pekin IL 61554-6246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Beer, Cody can be contacted via phone (309) 347-4277.Contact Information
Primary practice address
3400 Griffin Ave
Pekin IL 61554-6246
Phone: (309) 347-4277
Fax: (309) 347-4388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 209018970 | Illinois |
Profile Details
| NPI number | 1396208310 |
|---|---|
| LBN Legal business name | Beer, Cody |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2019 |
| Last updated | Apr 8th, 2019 - about 7 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 | 1396208310 | NPPES |
| Illinois | Other | 309014113 | CONTROLLED SUBSTANCE LICENSE |
| Illinois | Other | 041431013 | CONTROLLED SUBSTANCE LICENSE |
| Illinois | Other | 209018970 | CONTROLLED SUBSTANCE LICENSE |
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