Ikenberry, Steven O
Ikenberry, Steven O is an individual health care provider with primary practice located at 401 Roxbury Rd , Rockford IL 61107-5075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ikenberry, Steven O can be contacted via phone (815) 397-7340.Contact Information
Primary practice address
401 Roxbury Rd
Rockford IL 61107-5075
Phone: (815) 397-7340
Fax: (815) 397-7388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 36093860 | Illinois |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01039865A | Indiana |
Profile Details
| NPI number | 1336135540 |
|---|---|
| LBN Legal business name | Ikenberry, Steven O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Dec 22nd, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336135540 | NPPES |
| Illinois | MEDICAID | 036093860 |
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