Sharkey, Carrie
Sharkey, Carrie is an individual health care provider with primary practice located at 1221 E State St , Rockford IL 61104-2231. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sharkey, Carrie can be contacted via phone (815) 972-1000.Contact Information
Primary practice address
1221 E State St
Rockford IL 61104-2231
Phone: (815) 972-1000
Fax: (815) 972-1086
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036082688 | Illinois |
Profile Details
NPI number | 1295725323 |
---|---|
LBN Legal business name | Sharkey, Carrie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 28th, 2005 |
Last updated | Oct 30th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295725323 | NPPES |
Illinois | Other | 036082688 | IL STATE LICENSE |
Illinois | MEDICAID | 036082688 | IL STATE LICENSE |
Illinois | Other | 336044959 | IL STATE LICENSE |
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