Jones, Douglas J.

Jones, Douglas J. is an individual health care provider with primary practice located at 3101 Fields South Dr , Champaign IL 61822-3743. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jones, Douglas J. can be contacted via phone (217) 366-1228.

Contact Information

Primary practice address
3101 Fields South Dr Champaign IL 61822-3743
Phone: (217) 366-1228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-109246 Illinois

Profile Details

NPI number 1649287210
LBN Legal business name Jones, Douglas J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jan 5th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649287210 NPPES
Illinois MEDICAID 036109246 1
Illinois Other P00058304
Illinois Other 279500

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