Barteau, Jeffrey Andrew

Barteau, Jeffrey Andrew is an individual health care provider with primary practice located at 5668 E State St , Rockford IL 61108-2464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Barteau, Jeffrey Andrew can be contacted via phone (815) 229-7580.

Contact Information

Primary practice address
5668 E State St Rockford IL 61108-2464
Fax: (815) 229-7585
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036088557 Illinois

Profile Details

NPI number 1053344903
LBN Legal business name Barteau, Jeffrey Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Oct 6th, 2015 - about 10 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053344903 NPPES
Illinois MEDICAID 036088557
Illinois Other 020022267
Illinois MEDICAID 32030200

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