Smith, Jimmie Marquette
Smith, Jimmie Marquette is an individual health care provider with primary practice located at 180 S Main St , Canton IL 61520-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, Jimmie Marquette can be contacted via phone (309) 647-0201.Contact Information
Primary practice address
180 S Main St
Canton IL 61520-2608
Phone: (309) 647-0201
Fax: (309) 649-6880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036085766 | Illinois |
Profile Details
| NPI number | 1194834937 |
|---|---|
| LBN Legal business name | Smith, Jimmie Marquette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Apr 13th, 2021 - about 5 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 | 1194834937 | NPPES |
| Illinois | Other | 1942315197 | NPI CLINIC NUMBER |
| Illinois | Other | CG5172 | NPI CLINIC NUMBER |
| Illinois | Other | 014146 | NPI CLINIC NUMBER |
| Illinois | Other | 110200800 | NPI CLINIC NUMBER |
| Illinois | Other | IL0112 | NPI CLINIC NUMBER |
| Illinois | Other | 0062839 | NPI CLINIC NUMBER |
| Illinois | Other | 02922981 | NPI CLINIC NUMBER |
| Illinois | MEDICAID | 036085766 | NPI CLINIC NUMBER |
| Illinois | Other | 085766 | NPI CLINIC NUMBER |
| Illinois | Other | 200397 | NPI CLINIC NUMBER |
| Illinois | Other | 207537 | NPI CLINIC NUMBER |
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