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Contact Information

JULIA A BANCROFT, DO
6294 STATE HWY 154
SESSER, IL62884
 Phone: 618-625-6979
 Fax: 618-625-5362
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JULIA A BANCROFT · (Female)

NPI Number 1669459129
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/27/2005
Last updated 10/25/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036098406
  • IL Medicaid 036098406
  • Other 049587 HEALTH ALLIANCE
  • Other 413721 HEALTHLINK
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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