Salazar, Jose Alberto B
Salazar, Jose Alberto B is an individual health care provider with primary practice located at 3505 N. Bell School Rd. , Rockford IL 61114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Salazar, Jose Alberto B can be contacted via phone (779) 696-0300.Contact Information
Primary practice address
3505 N. Bell School Rd.
Rockford IL 61114
Phone: (779) 696-0300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036089020 | Illinois |
Profile Details
| NPI number | 1629074216 |
|---|---|
| LBN Legal business name | Salazar, Jose Alberto B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Feb 19th, 2021 - about 3 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 | 1629074216 | NPPES |
| Illinois | MEDICAID | 036089020 |
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