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Contact Information

BRIAN J CUMMINGS, PA
1802 S. MATTIS AVENUE
ORTHOPEDICS
CHAMPAIGN, IL61821
 Phone: 217-383-7676
 Fax: 217-383-4910
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRIAN J CUMMINGS · (Male)

NPI # 1770698789
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/20/2006
Last updated 11/21/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085-002639
  • IL License # 85002639
  • IL Other 0533210001 DMERC #
Hospital affiliation(s)
  • CARLE FOUNDATION HOSPITAL - (Acute Care)
    611 WEST PARK STREET
    URBANA, IL 61801
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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