Powell, Jeffrey David

Powell, Jeffrey David is an individual health care provider with primary practice located at 200 Richmond Ave E Ste 1 , Mattoon IL 61938-4652. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Powell, Jeffrey David can be contacted via phone (217) 234-7000.

Contact Information

Primary practice address
200 Richmond Ave E Ste 1 Mattoon IL 61938-4652
Phone: (217) 234-7000
Fax: (217) 234-7011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO-04963 Iowa
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS019722 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036.170637 Illinois

Profile Details

NPI number 1871921551
LBN Legal business name Powell, Jeffrey David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2013
Last updated Jun 24th, 2024 - about 2 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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