Petre, Anne M

Petre, Anne M is an individual health care provider with primary practice located at 306 46Th Ave , East Moline IL 61244-4281. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Petre, Anne M can be contacted via phone (309) 796-2329.

Contact Information

Primary practice address
306 46Th Ave East Moline IL 61244-4281
Fax: (309) 796-1146
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036091695 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-091695 Illinois

Profile Details

NPI number 1134125164
LBN Legal business name Petre, Anne M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Sep 4th, 2015 - about 9 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 1134125164 NPPES
Other 020355 HEALTH ALLIANCE
Other IL01F1 HEALTH ALLIANCE
Other 20083 HEALTH ALLIANCE
Other 90800 HEALTH ALLIANCE
MEDICAID 036091695 HEALTH ALLIANCE
Other 4796890020 HEALTH ALLIANCE

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