Petre, James E

Petre, James E is an individual health care provider with primary practice located at 306 46Th Ave , East Moline IL 61244-4281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Petre, James E can be contacted via phone (309) 796-2329.

Contact Information

Primary practice address
306 46Th Ave East Moline IL 61244-4281
Phone: (309) 796-2329
Fax: (309) 796-1146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036091692 Illinois

Profile Details

NPI number 1619973989
LBN Legal business name Petre, James E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Sep 23rd, 2022 - about 3 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 1619973989 NPPES
Other 020356 HEALTH ALLIANCE
MEDICAID 036091692 HEALTH ALLIANCE
Other 20084 HEALTH ALLIANCE
Other 90722 HEALTH ALLIANCE
MEDICAID 0589291 HEALTH ALLIANCE
Other 4796890020 HEALTH ALLIANCE

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