Rosborough, David C

Rosborough, David C is an individual health care provider with primary practice located at 420 Ne Glen Oak Ave Ste 401 , Peoria IL 61603-3112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Hypertension Specialist. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Rosborough, David C can be contacted via phone (309) 676-8123.

Contact Information

Primary practice address
420 Ne Glen Oak Ave Ste 401 Peoria IL 61603-3112
Phone: (309) 676-8123
Fax: (309) 676-8455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036079640 Illinois
Allopathic & Osteopathic Physicians / Hypertension Specialist 207RH0005X 036079640 Illinois

Profile Details

NPI number 1619007275
LBN Legal business name Rosborough, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jan 8th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1619007275 NPPES
Illinois Other 390002053 RAILROAD MEDICARE
Illinois MEDICAID 036079640 RAILROAD MEDICARE

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