Wachter, James E

Wachter, James E is an individual health care provider with primary practice located at 1006 S Division St , Carterville IL 62918-1539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wachter, James E can be contacted via phone (618) 985-4841.

Contact Information

Primary practice address
1006 S Division St Carterville IL 62918-1539
Fax: (618) 985-8101
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036076399 Illinois

Profile Details

NPI number 1982655692
LBN Legal business name Wachter, James E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jan 11th, 2010 - about 16 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 1982655692 NPPES
Illinois Other CF3444 MEDICARE RAILROAD GROUP
Illinois MEDICAID 370966854004 MEDICARE RAILROAD GROUP
Illinois MEDICAID 036076399 MEDICARE RAILROAD GROUP

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