Pedersen, Christine M
Pedersen, Christine M is an individual health care provider with primary practice located at 6905 E State St , Rockford IL 61108. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Pedersen, Christine M can be contacted via phone (815) 397-4142.Contact Information
Primary practice address
6905 E State St
Rockford IL 61108
Phone: (815) 397-4142
Fax: (815) 397-4144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 070012627 | Illinois |
Profile Details
| NPI number | 1134237753 |
|---|---|
| LBN Legal business name | Pedersen, Christine M |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Dec 17th, 2008 - about 17 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 | 1134237753 | NPPES |
| Illinois | Other | P00426232 | MEDICARE RAILROAD |
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