Moody, Patricia L.
Moody, Patricia L. is an individual health care provider with primary practice located at 2780 Mcfarland Rd , Rockford IL 61107-6807. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moody, Patricia L. can be contacted via phone (815) 971-2000.Contact Information
Primary practice address
2780 Mcfarland Rd
Rockford IL 61107-6807
Phone: (815) 971-2000
Fax: (815) 637-0400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036103063 | Illinois |
Profile Details
| NPI number | 1043369747 |
|---|---|
| LBN Legal business name | Moody, Patricia L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 9th, 2015 - about 9 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 | 1043369747 | NPPES |
| Illinois | MEDICAID | 036103063 |
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