Individual
CLARENCE L PEARSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 N ALLEN ST, CRAWFORD MEMORIAL HOSPITAL, ROBINSON, IL 62454-1167
(618) 546-2410
(618) 546-2613
Mailing address
PO BOX 1977, SPRINGFIELD, IL 62705-1977
(217) 544-6464
(217) 757-6021
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01732004
BLUE CROSS/BLUE SHIELD
IL
01
—
542903
HEALTHLINK
IL
01
—
DA2630
RR MEDICARE GRP#
IL
01
—
P00042144
RR MEDICARE PIN
IL
Enumeration date
06/27/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us