Ackerman, Eveleen M

Ackerman, Eveleen M is an individual health care provider with primary practice located at 1221 E State St University Family Health Center, Rockford IL 61104-2231. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ackerman, Eveleen M can be contacted via phone (815) 972-1000.

Contact Information

Primary practice address
1221 E State St University Family Health Center Rockford IL 61104-2231
Phone: (815) 972-1000
Fax: (815) 972-1033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209001986 Illinois

Profile Details

NPI number 1568444008
LBN Legal business name Ackerman, Eveleen M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated May 2nd, 2011 - about 13 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 1568444008 NPPES
Illinois Other 209001986 IL STATE LICENSE

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