Dewey, Jodie
Dewey, Jodie is an individual health care provider with primary practice located at 302 Saint Joseph Dr , Bloomington IL 61701-3506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dewey, Jodie can be contacted via phone (309) 664-3100.Contact Information
Primary practice address
302 Saint Joseph Dr
Bloomington IL 61701-3506
Phone: (309) 664-3100
Fax: (309) 664-3027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036088592 | Illinois |
Profile Details
| NPI number | 1275559270 |
|---|---|
| LBN Legal business name | Dewey, Jodie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Apr 22nd, 2014 - about 12 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 | 1275559270 | NPPES |
| Other | IL2613 | MEDICARE GROUP # |
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