Mcdermott, Deborah K

Mcdermott, Deborah K is an individual health care provider with primary practice located at 4 Park Pl , Swansea IL 62226-2965. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mcdermott, Deborah K can be contacted via phone (618) 277-7500.

Contact Information

Primary practice address
4 Park Pl Swansea IL 62226-2965
Phone: (618) 277-7500
Fax: (618) 277-4236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-061906 Illinois

Profile Details

NPI number 1013998152
LBN Legal business name Mcdermott, Deborah K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Oct 24th, 2012 - about 14 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 1013998152 NPPES
Illinois MEDICAID 036061906
Illinois Other 0407153
Illinois Other 000000010025
Illinois Other 122607
Illinois Other 2788
Illinois MEDICAID 4545931822
Illinois Other 08221955
Illinois Other 127467
Illinois Other 4227190
Illinois Other C45318

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