Iverson, Roseann Cecilina

Iverson, Roseann Cecilina is an individual health care provider with primary practice located at 2000 Lake Ave , Woodstock IL 60098-7401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Iverson, Roseann Cecilina can be contacted via phone (815) 337-7100.

Contact Information

Primary practice address
2000 Lake Ave Woodstock IL 60098-7401
Phone: (815) 337-7100
Fax: (815) 337-4793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209014218 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277000696 Illinois

Profile Details

NPI number 1386099208
LBN Legal business name Iverson, Roseann Cecilina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2016
Last updated Sep 27th, 2023 - about last year

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 1386099208 NPPES
Illinois Other 277000696 FULL PRACTICE AUTHORITY

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