Escorcia, Freddy A
Escorcia, Freddy A is an sole proprietor health care provider with primary practice located at 117 Heatherview Dr , East Peoria IL 61611-4890. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Escorcia, Freddy A can be contacted via phone (309) 387-2733.Contact Information
Primary practice address
117 Heatherview Dr
East Peoria IL 61611-4890
Phone: (309) 387-2733
Fax: (309) 387-2733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036092303 | Illinois |
Profile Details
| NPI number | 1558346544 |
|---|---|
| LBN Legal business name | Escorcia, Freddy A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Feb 7th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558346544 | NPPES |
| Colorado | MEDICAID | 036092303 |
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