Cerny, John Michael

Cerny, John Michael is an sole proprietor health care provider with primary practice located at 515 N Main St , Anna IL 62906-1668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cerny, John Michael can be contacted via phone (618) 833-3300.

Contact Information

Primary practice address
515 N Main St Anna IL 62906-1668
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036066934 Illinois

Profile Details

NPI number 1407852825
LBN Legal business name Cerny, John Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated Jan 20th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407852825 NPPES
Illinois MEDICAID 036066934
Illinois Other 371217285
Illinois Other 080007449
Illinois Other N8453
Illinois Other 029385
Illinois Other 109812
Illinois Other 09100030

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