Entwistle, Tina Renee

Entwistle, Tina Renee is an individual health care provider with primary practice located at 6778 Mill Rd Suite 100, Rockford IL 61108-2502. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Entwistle, Tina Renee can be contacted via phone (815) 227-0041.

Contact Information

Primary practice address
6778 Mill Rd Suite 100 Rockford IL 61108-2502
Phone: (815) 227-0041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016-005194 Illinois

Profile Details

NPI number 1598985939
LBN Legal business name Entwistle, Tina Renee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jan 11th, 2011 - about 13 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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