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Contact Information

LADONNA J BRYAN, MD
1600 W WALNUT ST
PASSAVANT SURGICAL ASSOCIATES
JACKSONVILLE, IL62650-1136
 Phone: 217-479-5821
 Fax: 217-243-7406
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LADONNA J BRYAN · (Female)

NPI Number 1508975285
Status Active
Credentials MD
Entity Individual
Enumeration date 08/29/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL Medicaid 036111023 1
  • IL Medicaid 036111023 2
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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