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
Fax: (217) 877-3082
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467534065 NPPES
Illinois MEDICAID 036100229

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