Cummings, Brian J

Cummings, Brian J is an individual health care provider with primary practice located at 1802 S. Mattis Avenue Orthopedics, Champaign IL 61821. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cummings, Brian J can be contacted via phone (217) 383-7676.

Contact Information

Primary practice address
1802 S. Mattis Avenue Orthopedics Champaign IL 61821
Phone: (217) 383-7676
Fax: (217) 383-4910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-002639 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 85002639 Illinois

Profile Details

NPI number 1770698789
LBN Legal business name Cummings, Brian J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Nov 21st, 2013 - about 13 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 1770698789 NPPES
Illinois Other 0533210001 DMERC #

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