Bingham, Mary Colleen
Bingham, Mary Colleen is an individual health care provider with primary practice located at 1106 N Merchant St , Effingham IL 62401-2128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bingham, Mary Colleen can be contacted via phone (217) 342-7000.Contact Information
Primary practice address
1106 N Merchant St
Effingham IL 62401-2128
Phone: (217) 342-7000
Fax: (217) 342-7002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036089053 | Illinois |
Profile Details
| NPI number | 1063497659 |
|---|---|
| LBN Legal business name | Bingham, Mary Colleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Nov 22nd, 2021 - about 5 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 | 1063497659 | NPPES |
| Illinois | MEDICAID | 036089053 |
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