Agustsson Mathers, Ann
Agustsson Mathers, Ann is an individual health care provider with primary practice located at 1601 Parkview Ave , Rockford IL 61107-1822. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Agustsson Mathers, Ann can be contacted via phone (815) 395-5870.Contact Information
Primary practice address
1601 Parkview Ave
Rockford IL 61107-1822
Phone: (815) 395-5870
Fax: (815) 395-5750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036039266 | Illinois |
Profile Details
| NPI number | 1417912411 |
|---|---|
| LBN Legal business name | Agustsson Mathers, Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1417912411 | NPPES |
| Illinois | Other | 036039266 | STATE MEDICAL LICENSE |
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