Podeszwa, Laurie Ann
Podeszwa, Laurie Ann is an sole proprietor health care provider with primary practice located at 1401 E State St , Rockford IL 61104-2315. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Podeszwa, Laurie Ann can be contacted via phone (815) 489-4891.Contact Information
Primary practice address
1401 E State St
Rockford IL 61104-2315
Phone: (815) 489-4891
Fax: (815) 967-5312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209004715 | Illinois |
Profile Details
| NPI number | 1407990708 |
|---|---|
| LBN Legal business name | Podeszwa, Laurie Ann |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2007 |
| Last updated | Mar 7th, 2011 - about 14 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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