Legett, John A

Legett, John A is an individual health care provider with primary practice located at 707 N Logan Ave , Danville IL 61832-4360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Legett, John A can be contacted via phone (217) 446-6410.

Contact Information

Primary practice address
707 N Logan Ave Danville IL 61832-4360
Fax: (217) 477-4757
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036071028 Illinois

Profile Details

NPI number 1306893649
LBN Legal business name Legett, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Dec 3rd, 2009 - about 17 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 1306893649 NPPES
Other 247883 UNITED HEALTHCARE
Other 170575 UNITED HEALTHCARE
MEDICAID 036071028 UNITED HEALTHCARE
MEDICAID 100014870A UNITED HEALTHCARE

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