Bacal, Anne Margarette
Bacal, Anne Margarette is an individual health care provider with primary practice located at 2601 W Main St , Carbondale IL 62901-1031. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Bacal, Anne Margarette can be contacted via phone (618) 549-5361.Contact Information
Primary practice address
2601 W Main St
Carbondale IL 62901-1031
Phone: (618) 549-5361
Fax: (618) 351-4878
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036.142672 | Illinois |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | U5920 | Texas |
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | U5920 | Texas |
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 036.142672 | Illinois |
Profile Details
NPI number | 1992119176 |
---|---|
LBN Legal business name | Bacal, Anne Margarette |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2014 |
Last updated | Nov 14th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992119176 | NPPES |
Illinois | Other | 036.142672 | ILLINOIS PHYSICIAN LICENSE |
Illinois | MEDICAID | 036142672 | ILLINOIS PHYSICIAN LICENSE |
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