Stone Ridge Medical Group Sc

LBN: Stone Ridge Medical Group Sc
Stone Ridge Medical Group Sc is an health care organization with primary practice located at 306 46Th Ave , East Moline IL 61244-4281. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Stone Ridge Medical Group Sc can be contacted via phone (309) 796-2329, or through Petre, James 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:
Map and Directions
Authorized official contact:
Name: Petre, James Doctor of Medicine (MD)
Phone: (309) 796-2329

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 336053231 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036091695 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085002304 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209000908 Illinois

Profile Details

NPI number 1306097894
LBN Legal business name Stone Ridge Medical Group Sc
DBA Doing business as
Authorized official Petre, James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2008
Last updated Oct 2nd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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