Powell, James S

Powell, James S is an individual health care provider with primary practice located at 6800 State Route 162 Dept. Of Anesthesiology, Maryville IL 62062-8500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Powell, James S can be contacted via phone (618) 288-5711.

Contact Information

Primary practice address
6800 State Route 162 Dept. Of Anesthesiology Maryville IL 62062-8500
Phone: (618) 288-5711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2005015447 Missouri
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036111788 Illinois

Profile Details

NPI number 1497726251
LBN Legal business name Powell, James S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jan 25th, 2010 - about 15 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 1497726251 NPPES
Missouri MEDICAID 207401001

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