Reid, Churphena
Reid, Churphena is an individual health care provider with primary practice located at 1001 Main St Suite 201, Peoria IL 61606-1907. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Reid, Churphena can be contacted via phone (309) 495-0282.Contact Information
Primary practice address
1001 Main St Suite 201
Peoria IL 61606-1907
Phone: (309) 495-0282
Fax: (309) 495-0298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036089160 | Illinois |
Profile Details
| NPI number | 1548297252 |
|---|---|
| LBN Legal business name | Reid, Churphena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Sep 18th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548297252 | NPPES |
| Illinois | Other | 7215166 | BCBS |
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