Scerba, Tricia
Scerba, Tricia is an individual health care provider with primary practice located at 320 E Central Ave , Decatur IL 62521-4665. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Scerba, Tricia can be contacted via phone (217) 877-9117.Contact Information
Primary practice address
320 E Central Ave
Decatur IL 62521-4665
Phone: (217) 877-9117
Fax: (217) 877-3082
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036100229 | Illinois |
Profile Details
NPI number | 1467534065 |
---|---|
LBN Legal business name | Scerba, Tricia |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 20th, 2006 |
Last updated | Jun 24th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467534065 | NPPES |
Illinois | MEDICAID | 036100229 |
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