Individual
JOHN VAN EARNHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-3437
(573) 332-6000
Mailing address
1111 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-3437
(573) 332-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-106126
IL
207Q00000X
Family Medicine Physician
Primary
2013002771
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-106126
—
IL
01
—
036106126
IDPA FEE FOR SERVICE
IL
01
—
076839
HEALTH ALLIANCE
IL
05
—
1043218084
—
MO
01
—
473444
HEALTHLINK
IL
01
—
H67921
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/13/2005
Last updated
05/12/2026
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