Rutherford, Jeremy

Rutherford, Jeremy is an sole proprietor health care provider with primary practice located at 300 N Main St , East Peoria IL 61611-2016. He recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as his primary health care specialty. Rutherford, Jeremy can be contacted via phone (309) 694-7661.

Contact Information

Primary practice address
300 N Main St East Peoria IL 61611-2016
Phone: (309) 694-7661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 051291403 Illinois

Profile Details

NPI number 1063796621
LBN Legal business name Rutherford, Jeremy
Credentials PHARMD.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2011
Last updated Sep 30th, 2011 - 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.

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