Myers, John Carlton

Myers, John Carlton is an individual health care provider with primary practice located at 1340 Charles St Ste 300 , Rockford IL 61104-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Myers, John Carlton can be contacted via phone (779) 696-8800.

Contact Information

Primary practice address
1340 Charles St Ste 300 Rockford IL 61104-2200
Phone: (779) 696-8800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036095491 Illinois

Profile Details

NPI number 1174553523
LBN Legal business name Myers, John Carlton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Nov 11th, 2013 - about 13 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 1174553523 NPPES
Wisconsin MEDICAID 32318300
Wisconsin MEDICAID 036095491

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