Fajardo, Javier E.
Fajardo, Javier E. is an individual health care provider with primary practice located at 2419 W Cornerstone Ct , Peoria IL 61614-2529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fajardo, Javier E. can be contacted via phone (309) 692-2025.Contact Information
Primary practice address
2419 W Cornerstone Ct
Peoria IL 61614-2529
Phone: (309) 692-2025
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036117247 | Illinois |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036-117247 | Illinois |
Profile Details
| NPI number | 1902943780 |
|---|---|
| LBN Legal business name | Fajardo, Javier E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Nov 24th, 2023 - about 3 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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