Doctor Name: | JASMIN L MCGINTY |
NPI Number: | 1154535615 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 0116016434 |
Business Practice Address: | 301 N 8th St Ste Pav3b Springfield, IL - 627011041 |
Business Phone Number: | 2175457500 |
Business Fax Number: | 2175457305 |
Mailing Address: | Po Box 19650, SPRINGFIELD |
State: | IL |
Postal Code: | 627949650 |
Phone Number: | 2175457500 |
Fax Number: | 2175457305 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 11/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0116016434 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |