Church, Dane Jack
Church, Dane Jack is an sole proprietor health care provider with primary practice located at 1301 S Koke Mill Rd , Springfield IL 62711-9252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Church, Dane Jack can be contacted via phone (217) 547-9100.Contact Information
Primary practice address
1301 S Koke Mill Rd
Springfield IL 62711-9252
Phone: (217) 547-9100
Fax: (217) 547-9236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 036148467 | Illinois |
Profile Details
| NPI number | 1790128387 |
|---|---|
| LBN Legal business name | Church, Dane Jack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2013 |
| Last updated | Apr 13th, 2020 - about 6 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.
Popular Providers
-
Graham, Angus Woodward
44 Elks Club Rd , Brevard NC 28712-3514 -
Chiavetta, John B
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Lagrone, Michael O
1600 S Coulter St Ste B , Amarillo TX 79106-0703 -
Allan, D Gordon
1301 S Koke Mill Rd , Springfield IL 62711-9252 -
Mcgowen, Jeffrey L
6301 Harris Pkwy Ste 300 , Fort Worth TX 76132-4249 -
Warda, Ankedo E
701 N 1St St , Springfield IL 62702-3757 -
Fisher, Steven E
7601 W Jefferson Blvd , Fort Wayne IN 46804-4133 -
Brooks, D Hodari
1700 Hospital South Dr Ste 502 , Austell GA 30106-8159