Roche, Florence A
Roche, Florence A is an individual health care provider with primary practice located at Resurrection Immediate Care Center 7230 W. North Ave, Ste 106 B, Elmwood Park IL 60707-4262. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roche, Florence A can be contacted via phone (708) 453-3000.Contact Information
Primary practice address
Resurrection Immediate Care Center 7230 W. North Ave, Ste 106 B
Elmwood Park IL 60707-4262
Phone: (708) 453-3000
Fax: (708) 453-4660
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036108887 | Illinois |
Profile Details
NPI number | 1922037308 |
---|---|
LBN Legal business name | Roche, Florence A |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2006 |
Last updated | Jun 25th, 2009 - about 15 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 | 1922037308 | NPPES |
Illinois | MEDICAID | 036108887 | |
Illinois | Other | 1619414 | |
Illinois | MEDICAID | 3633309286030501 |
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