Andronova, Ksenia
Andronova, Ksenia is an sole proprietor health care provider with primary practice located at 275 N Phelps Ave , Rockford IL 61108-2434. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Andronova, Ksenia can be contacted via phone (815) 484-8678.Contact Information
Primary practice address
275 N Phelps Ave
Rockford IL 61108-2434
Phone: (815) 484-8678
Fax: (815) 484-8680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | Illinois |
Profile Details
| NPI number | 1801948443 |
|---|---|
| LBN Legal business name | Andronova, Ksenia |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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