Trudeau, Edward A

Trudeau, Edward A is an sole proprietor health care provider with primary practice located at 319 E Madison St Ste 2A , Springfield IL 62701-1035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as his primary health care specialty. Trudeau, Edward A can be contacted via phone (217) 788-3377.

Contact Information

Primary practice address
319 E Madison St Ste 2A Springfield IL 62701-1035
Phone: (217) 788-3377
Fax: (217) 788-5505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 036062396 Illinois

Profile Details

NPI number 1841250339
LBN Legal business name Trudeau, Edward A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2006
Last updated Jul 3rd, 2019 - about 7 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 1841250339 NPPES
Illinois MEDICAID 036062396

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