Chupich, Jeanne Marie
Chupich, Jeanne Marie is an sole proprietor health care provider with primary practice located at 1415 E State Steeet Suite 800, Rockford IL 61104-2333. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Chupich, Jeanne Marie can be contacted via phone (815) 965-2809.Contact Information
Primary practice address
1415 E State Steeet Suite 800
Rockford IL 61104-2333
Phone: (815) 965-2809
Fax: (815) 965-8974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 364SW0102X | 209004152 | Illinois |
Profile Details
| NPI number | 1922369958 |
|---|---|
| LBN Legal business name | Chupich, Jeanne Marie |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2012 |
| Last updated | Jun 6th, 2012 - about 12 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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