Fecht, Peter John
Fecht, Peter John is an individual health care provider with primary practice located at 545 Valley View Dr , Moline IL 61265-6138. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Fecht, Peter John can be contacted via phone (309) 762-5560.Contact Information
Primary practice address
545 Valley View Dr
Moline IL 61265-6138
Phone: (309) 762-5560
Fax: (309) 762-7351
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 209000285 | Illinois |
Profile Details
NPI number | 1144224429 |
---|---|
LBN Legal business name | Fecht, Peter John |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2005 |
Last updated | Feb 28th, 2014 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144224429 | NPPES |
Illinois | MEDICAID | 344565702 | |
Illinois | Other | 430078437 |
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