Sargent, Rachel Marie

Sargent, Rachel Marie is an individual health care provider with primary practice located at 600 N. Giant City Rd , Carbondale IL 62902-6413. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sargent, Rachel Marie can be contacted via phone (618) 549-2500.

Contact Information

Primary practice address
600 N. Giant City Rd Carbondale IL 62902-6413
Phone: (618) 549-2500
Fax: (618) 549-2525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085003056 Illinois

Profile Details

NPI number 1164618633
LBN Legal business name Sargent, Rachel Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Nov 6th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164618633 NPPES
Illinois Other 208554 HEALTH ALLIANCE
Illinois Other CF3444 HEALTH ALLIANCE
Illinois MEDICAID 370966854017 HEALTH ALLIANCE

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