Ditto, Carly Renee

Ditto, Carly Renee is an individual health care provider with primary practice located at 1401 E State St , Rockford IL 61104-2315. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Ditto, Carly Renee can be contacted via phone (815) 540-6299.

Contact Information

Primary practice address
1401 E State St Rockford IL 61104-2315
Phone: (815) 540-6299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 056011683 Illinois

Profile Details

NPI number 1174016885
LBN Legal business name Ditto, Carly Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2018
Last updated Jun 8th, 2018 - about 7 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.

Request for update

Popular Providers