Hunter-Reach, Pamela Kay
Hunter-Reach, Pamela Kay is an individual health care provider with primary practice located at 300 W Oak St , Carbondale IL 62901-1400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hunter-Reach, Pamela Kay can be contacted via phone (618) 536-6621.Contact Information
Primary practice address
300 W Oak St
Carbondale IL 62901-1400
Phone: (618) 536-6621
Fax: (618) 453-1102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-099509 | Illinois |
Profile Details
| NPI number | 1942208988 |
|---|---|
| LBN Legal business name | Hunter-Reach, Pamela Kay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Jan 29th, 2024 - about 2 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 | 1942208988 | NPPES |
| Illinois | MEDICAID | 036-099509 | |
| Illinois | Other | 411392 | |
| Illinois | Other | H05071 | |
| Illinois | Other | H05071 | |
| Illinois | Other | P00132466 | |
| Illinois | Other | 036099509 | |
| Illinois | Other | 052911 | |
| Illinois | Other | H05071 |
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