National Provider Identifier Database

JEFFERY S DEACON, DPM – NPI #1104919075
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

JEFFERY S DEACON, DPM
3403 PROFESSIONAL PARK DR
MARION, IL62959-6394
Phone: 618-993-0333
Fax: 618-993-0545
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for JEFFERY S DEACON

NPI Number 1104919075
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/02/2006
Last updated 04/16/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 016004769
  • IL Medicaid: 016004769001
Hospital affiliation n/a

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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