Mueller, John C

Mueller, John C is an individual health care provider with primary practice located at 8600 N State Route 91 Suite 330, Peoria IL 61615-9541. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mueller, John C can be contacted via phone (309) 692-2025.

Contact Information

Primary practice address
8600 N State Route 91 Suite 330 Peoria IL 61615-9541
Phone: (309) 692-2025
Fax: (309) 692-2446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036068925 Illinois

Profile Details

NPI number 1730144650
LBN Legal business name Mueller, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 1st, 2013 - 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 1730144650 NPPES
Illinois MEDICAID 036068925

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