Tredway, Dorrie C
Tredway, Dorrie C is an individual health care provider with primary practice located at 1512 N Green Mount Rd Suite 108, O Fallon IL 62269-2083. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tredway, Dorrie C can be contacted via phone (618) 624-5510.Contact Information
Primary practice address
1512 N Green Mount Rd Suite 108
O Fallon IL 62269-2083
Phone: (618) 624-5510
Fax: (618) 624-5529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2008010712 | Missouri |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036108951 | Illinois |
Profile Details
| NPI number | 1891787040 |
|---|---|
| LBN Legal business name | Tredway, Dorrie C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Dec 20th, 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 | 1891787040 | NPPES |
| Missouri | Other | 156490007 | MO PTAN |
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