Beversdorf, Jamie

Beversdorf, Jamie is an individual health care provider with primary practice located at 5401 N Knoxville Ave , Peoria IL 61614-5098. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Beversdorf, Jamie can be contacted via phone (309) 689-6093.

Contact Information

Primary practice address
5401 N Knoxville Ave Peoria IL 61614-5098
Phone: (309) 689-6093
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125-049768 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125-049768 Illinois

Profile Details

NPI number 1427256965
LBN Legal business name Beversdorf, Jamie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Jan 28th, 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.

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