Mirza, Razvan Cornel
Mirza, Razvan Cornel is an individual health care provider with primary practice located at 2715 N Main St , Rockford IL 61103-3111. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mirza, Razvan Cornel can be contacted via phone (815) 964-8713.Contact Information
Primary practice address
2715 N Main St
Rockford IL 61103-3111
Phone: (815) 964-8713
Fax: (815) 964-3719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019026551 | Illinois |
Profile Details
| NPI number | 1346202918 |
|---|---|
| LBN Legal business name | Mirza, Razvan Cornel |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | May 14th, 2014 - about 10 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 | 1346202918 | NPPES |
| Illinois | MEDICAID | 9178466 |
Popular Providers
-
Varland, David A.
6068 Palo Verde Dr , Rockford IL 61114-8116 -
Gowda, Kavitha
Dental Dreams, 6215 E State St , Rockford IL 61108 -
Antonacci, Louis E
5301 E State St Suite 307A, Rockford IL 61108-2901 -
Baer-Mirza, Catherine M
2715 N Main St , Rockford IL 61103-3111 -
Woods, Patrick
1200 W State St , Rockford IL 61102-2112 -
Lallas, June Upshaw
1200 W State St , Rockford IL 61102-2112 -
Andronova, Ksenia
275 N Phelps Ave , Rockford IL 61108-2434 -
Pearson, Roger
1200 W State St , Rockford IL 61102-2112