Church, Frederick William
Church, Frederick William is an individual health care provider with primary practice located at 7180 Spring Brook Rd Suite B, Rockford IL 61114-6700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Church, Frederick William can be contacted via phone (815) 971-2299.Contact Information
Primary practice address
7180 Spring Brook Rd Suite B
Rockford IL 61114-6700
Phone: (815) 971-2299
Fax: (815) 971-9749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036044472 | Illinois |
Profile Details
| NPI number | 1871585034 |
|---|---|
| LBN Legal business name | Church, Frederick William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Apr 12th, 2013 - 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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