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Contact Information

DAVID J FLETCHER, MD MPH FACOEM
1806 N MARKET ST
CHAMPAIGN, IL61822
 Phone: 217-356-6150
 Fax: 217-356-7167
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DAVID J FLETCHER · (Male)

NPI Number 1639243868
Status Active
Credentials MD MPH FACOEM
Entity Individual
Enumeration date 11/20/2006
Last updated 10/18/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036071408
  • IL Medicaid 213008
  • IL Medicaid K25107
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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