Fleming, Sara
Fleming, Sara 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 / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Fleming, Sara can be contacted via phone (815) 489-4267.Contact Information
Primary practice address
1401 E State St
Rockford IL 61104-2315
Phone: (815) 489-4267
Fax: (815) 966-3967
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 036096754 | Illinois |
Profile Details
NPI number | 1972575157 |
---|---|
LBN Legal business name | Fleming, Sara |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 2nd, 2006 |
Last updated | Jul 19th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972575157 | NPPES |
Illinois | MEDICAID | 036096754 |
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