Velazquez, Virginia L.

Velazquez, Virginia L. is an individual health care provider with primary practice located at 1235 N Mulford Rd Suite 222, Rockford IL 61107-3879. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Velazquez, Virginia L. can be contacted via phone (815) 397-8400.

Contact Information

Primary practice address
1235 N Mulford Rd Suite 222 Rockford IL 61107-3879
Phone: (815) 397-8400
Fax: (815) 229-0050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041263753 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-006069 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209006069 Illinois

Profile Details

NPI number 1609952670
LBN Legal business name Velazquez, Virginia L.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 17th, 2018 - about 7 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 1609952670 NPPES
Illinois Other 820800061 MEDICARE PTAN (INDIVIDUAL)
Illinois Other 820800 MEDICARE PTAN (INDIVIDUAL)
Illinois Other 209006069 MEDICARE PTAN (INDIVIDUAL)

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