De Pedro, Larry H
De Pedro, Larry H is an individual health care provider with primary practice located at 705 S Dixie Hwy , Hoopeston IL 60942-1904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. De Pedro, Larry H can be contacted via phone (217) 283-5530.Contact Information
Primary practice address
705 S Dixie Hwy
Hoopeston IL 60942-1904
Phone: (217) 283-5530
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-116088 | Illinois |
Profile Details
| NPI number | 1861416455 |
|---|---|
| LBN Legal business name | De Pedro, Larry H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Aug 12th, 2020 - about 6 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 | 1861416455 | NPPES |
| Illinois | MEDICAID | 036116088 |
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