Roberts, Sally Ann
Roberts, Sally Ann is an sole proprietor health care provider with primary practice located at 401 Paris Ave , Rockford IL 61107-4440. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roberts, Sally Ann can be contacted via phone (815) 398-1634.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149001865 | Illinois |
Profile Details
| NPI number | 1497887269 |
|---|---|
| LBN Legal business name | Roberts, Sally Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Aug 13th, 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 | 1497887269 | NPPES |
| Illinois | Other | 10132130 | BCBS |
| Illinois | Other | 149001865 | BCBS |
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