| Dearnbarger Family Practice S.c. | |
|
101 W Jefferson St Sullivan IL 61951-1914 | |
| (217) 621-6595 | |
| Not Available |
| Full Name | Dearnbarger Family Practice S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 101 W Jefferson St, Sullivan, Illinois |
| Authorized Official Name and Position | Kurt M Dearnbarger (OWNER) |
| Authorized Official Contact | 2176216595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dearnbarger Family Practice S.c. 101 W Jefferson St Sullivan IL 61951-1914 Ph: () - | Dearnbarger Family Practice S.c. 101 W Jefferson St Sullivan IL 61951-1914 Ph: (217) 621-6595 |
| NPI Number | 1649289828 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 12/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649289828 | NPI | - | NPPES |
| DC1602 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
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