Petre, Anne M
Petre, Anne M is an individual health care provider with primary practice located at 306 46Th Ave , East Moline IL 61244-4281. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Petre, Anne M can be contacted via phone (309) 796-2329.Contact Information
Primary practice address
306 46Th Ave
East Moline IL 61244-4281
Phone: (309) 796-2329
Fax: (309) 796-1146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036091695 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-091695 | Illinois |
Profile Details
| NPI number | 1134125164 |
|---|---|
| LBN Legal business name | Petre, Anne M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Sep 4th, 2015 - about 11 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 | 1134125164 | NPPES |
| Other | 020355 | HEALTH ALLIANCE | |
| Other | IL01F1 | HEALTH ALLIANCE | |
| Other | 20083 | HEALTH ALLIANCE | |
| Other | 90800 | HEALTH ALLIANCE | |
| MEDICAID | 036091695 | HEALTH ALLIANCE | |
| Other | 4796890020 | HEALTH ALLIANCE |
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