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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841250339 | NPPES |
| Illinois | MEDICAID | 036062396 |
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