Pavlovich, James J

Pavlovich, James J is an individual health care provider with primary practice located at 6294 State Highway 154 , Sesser IL 62884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pavlovich, James J can be contacted via phone (618) 625-6979.

Contact Information

Primary practice address
6294 State Highway 154 Sesser IL 62884
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036089862 Illinois

Profile Details

NPI number 1679686745
LBN Legal business name Pavlovich, James J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jun 11th, 2019 - about 6 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 1679686745 NPPES
Illinois Other 324148 GHP
Illinois Other 370007818 GHP
Illinois Other 3932056 GHP
Illinois Other 48175 GHP
Illinois Other 027538 GHP
Illinois MEDICAID 036089862 GHP
Illinois Other 271458 GHP
Illinois Other 7210895 GHP

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