Pescatore, Earle M
Pescatore, Earle M is an sole proprietor health care provider with primary practice located at 751 N Rutledge St , Springfield IL 62702-4968. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Pescatore, Earle M can be contacted via phone (217) 545-8000.Contact Information
Primary practice address
751 N Rutledge St
Springfield IL 62702-4968
Phone: (217) 545-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036102614 | Illinois |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | OS11075 | Florida |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 036102614 | Illinois |
Profile Details
| NPI number | 1336147693 |
|---|---|
| LBN Legal business name | Pescatore, Earle M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2005 |
| Last updated | May 9th, 2024 - 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 | 1336147693 | NPPES |
| Illinois | Other | 101552 | HEALTH ALLIANCE |
| Illinois | MEDICAID | 0369102614 | HEALTH ALLIANCE |
| Illinois | Other | 10123243 | HEALTH ALLIANCE |
| Illinois | Other | 7648181 | HEALTH ALLIANCE |
| Illinois | Other | IL0100 | HEALTH ALLIANCE |
| Illinois | MEDICAID | 036102614-2 | HEALTH ALLIANCE |
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