Emmons, Cheryl L
Emmons, Cheryl L is an individual health care provider with primary practice located at 1100 S 42Nd St Suite B, Mount Vernon IL 62864-6216. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Emmons, Cheryl L can be contacted via phone (618) 244-5053.Contact Information
Primary practice address
1100 S 42Nd St Suite B
Mount Vernon IL 62864-6216
Phone: (618) 244-5053
Fax: (618) 244-1355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036101232 | Illinois |
Profile Details
| NPI number | 1295755114 |
|---|---|
| LBN Legal business name | Emmons, Cheryl L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1295755114 | NPPES |
| Illinois | Other | 4132016 | BCBS OF IL |
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