Moreno, Carlos X

Moreno, Carlos X is an individual health care provider with primary practice located at 1 Kish Hospital Dr , Dekalb IL 60115-9602. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Moreno, Carlos X can be contacted via phone (815) 756-1521.

Contact Information

Primary practice address
1 Kish Hospital Dr Dekalb IL 60115-9602
Phone: (815) 756-1521
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 041353932 Illinois

Profile Details

NPI number 1760763270
LBN Legal business name Moreno, Carlos X
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2011
Last updated Aug 30th, 2011 - about 13 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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