Faaborg, Judith

Faaborg, Judith is an individual health care provider with primary practice located at 1080 N 7Th St , Rochelle IL 61068-1533. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Faaborg, Judith can be contacted via phone (815) 562-6473.

Contact Information

Primary practice address
1080 N 7Th St Rochelle IL 61068-1533
Phone: (815) 562-6473
Fax: (815) 562-8737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051 289425 Illinois

Profile Details

NPI number 1700153749
LBN Legal business name Faaborg, Judith
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2011
Last updated Nov 18th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700153749 NPPES
Illinois MEDICAID 361924025090

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