National Provider Identifier Database

ACE MEDICAL SERVICES LLC
Family


Contact Information

ACE MEDICAL SERVICES LLC
929 RIDGECREST DR
BELLEVILLE, IL62220-3163
Phone: 618-340-3225
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for ACE MEDICAL SERVICES LLC

NPI Number 1144753096
Legal business name
LBN
ACE MEDICAL SERVICES LLC
Authorized official KATRINA SMITH - (ADMIN)
Entity Organization
Organization subpart No
Enumeration date 04/07/2017
Last updated 04/07/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 209011911
  • IL Medicaid: 209011911

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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