Rosburg, Kristopher Carson

Rosburg, Kristopher Carson is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Rosburg, Kristopher Carson can be contacted via phone (309) 677-7171.

Contact Information

Primary practice address
530 Ne Glen Oak Ave Peoria IL 61637
Phone: (309) 677-7171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036.149648 Illinois
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036.149648 Illinois

Profile Details

NPI number 1578829321
LBN Legal business name Rosburg, Kristopher Carson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2012
Last updated Oct 12th, 2020 - about 4 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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