Carpenter, Patricia Ann

Carpenter, Patricia Ann is an individual health care provider with primary practice located at 130 N 1St St , Rockford IL 61107-3900. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Carpenter, Patricia Ann can be contacted via phone (815) 965-2989.

Contact Information

Primary practice address
130 N 1St St Rockford IL 61107-3900
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 23903228 Illinois

Profile Details

NPI number 1295908341
LBN Legal business name Carpenter, Patricia Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2008
Last updated Apr 9th, 2008 - about 16 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 1295908341 NPPES
Illinois Other 1295290001 BILLING PROVIDER

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