Earnhart, John Van
Earnhart, John Van is an individual health care provider with primary practice located at 150 S Mount Auburn Rd Suite 418, Cape Girardeau MO 63703-4911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Earnhart, John Van can be contacted via phone (573) 332-6000.Contact Information
Primary practice address
150 S Mount Auburn Rd Suite 418
Cape Girardeau MO 63703-4911
Phone: (573) 332-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-106126 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2013002771 | Missouri |
Profile Details
| NPI number | 1043218084 |
|---|---|
| LBN Legal business name | Earnhart, John Van |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Jan 31st, 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 | 1043218084 | NPPES |
| Illinois | Other | H67921 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 076839 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | H67921 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | H67921 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 036-106126 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 036106126 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | H67921 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 1043218084 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 473444 | BLUE CROSS BLUE SHIELD |
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