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:
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Health care specialties

SpecialtyCodeLicense #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 11 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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