Reese, Andrew S

Reese, Andrew S is an individual health care provider with primary practice located at 6000 N Allen Road , Peoria IL 61614-3294. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Reese, Andrew S can be contacted via phone (309) 691-1400.

Contact Information

Primary practice address
6000 N Allen Road Peoria IL 61614-3294
Phone: (309) 691-1400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085001887 Illinois

Profile Details

NPI number 1851380570
LBN Legal business name Reese, Andrew S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Dec 31st, 2019 - about 5 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 1851380570 NPPES
Illinois MEDICAID 085001887

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