Damon, Sandra

Damon, Sandra is an individual health care provider with primary practice located at 2400 N Rockton Ave , Rockford IL 61103-3655. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Damon, Sandra can be contacted via phone (815) 971-5000.

Contact Information

Primary practice address
2400 N Rockton Ave Rockford IL 61103-3655
Phone: (815) 971-5000
Fax: (815) 968-9677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 041227847 Illinois

Profile Details

NPI number 1184808834
LBN Legal business name Damon, Sandra
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2007
Last updated Dec 5th, 2014 - about 10 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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