Maurer, Daphne D

Maurer, Daphne D is an individual health care provider with primary practice located at 1813 W Kirby Ave , Champaign IL 61821-5410. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Maurer, Daphne D can be contacted via phone (217) 383-1850.

Contact Information

Primary practice address
1813 W Kirby Ave Champaign IL 61821-5410
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036113575 Illinois

Profile Details

NPI number 1326150095
LBN Legal business name Maurer, Daphne D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated May 7th, 2014 - about 12 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 1326150095 NPPES
Illinois MEDICAID 036-113575

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