Fomina, Christina M

Fomina, Christina M is an sole proprietor health care provider with primary practice located at 5510 E State St , Rockford IL 61108-2381. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Fomina, Christina M can be contacted via phone (815) 395-4570.

Contact Information

Primary practice address
5510 E State St Rockford IL 61108-2381
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 070.023520 Illinois

Profile Details

NPI number 1649760794
LBN Legal business name Fomina, Christina M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2018
Last updated May 15th, 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.

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