Pestka, Christa S
Pestka, Christa S is an individual health care provider with primary practice located at 14410 Route 37 , Johnston City IL 62951-1427. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pestka, Christa S can be contacted via phone (618) 983-6911.Contact Information
Primary practice address
14410 Route 37
Johnston City IL 62951-1427
Phone: (618) 983-6911
Fax: (618) 983-6913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-107039 | Illinois |
Profile Details
| NPI number | 1356342331 |
|---|---|
| LBN Legal business name | Pestka, Christa S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Apr 13th, 2022 - about 2 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 | 1356342331 | NPPES |
| Illinois | Other | CF3444 | MEDICARE RR |
| Illinois | MEDICAID | 036107039 | MEDICARE RR |
| Illinois | MEDICAID | 370966854023 | MEDICARE RR |
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