Ellingson, Antoinette Gail

Ellingson, Antoinette Gail 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 / Family, which is considered as her primary health care specialty. Ellingson, Antoinette Gail can be contacted via phone (815) 971-5810.

Contact Information

Primary practice address
2400 N Rockton Ave Rockford IL 61103-3655
Phone: (815) 971-5810
Fax: (815) 971-9627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Illinois

Profile Details

NPI number 1215144951
LBN Legal business name Ellingson, Antoinette Gail
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Feb 19th, 2008 - about 16 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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