Medernach, Jeffrey Allen

Medernach, Jeffrey Allen is an sole proprietor health care provider with primary practice located at 2305 W Altorfer Dr , Peoria IL 61615-1809. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Medernach, Jeffrey Allen can be contacted via phone (309) 691-2010.

Contact Information

Primary practice address
2305 W Altorfer Dr Peoria IL 61615-1809
Phone: (309) 691-2010
Fax: (309) 693-5521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051034915 Illinois

Profile Details

NPI number 1023396835
LBN Legal business name Medernach, Jeffrey Allen
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2011
Last updated Jul 27th, 2011 - 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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