Capriola, Kathleen D
Capriola, Kathleen D is an individual health care provider with primary practice located at 612 Roxbury Rd , Rockford IL 61107-5089. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Capriola, Kathleen D can be contacted via phone (815) 227-8300.Contact Information
Primary practice address
612 Roxbury Rd
Rockford IL 61107-5089
Phone: (815) 227-8300
Fax: (815) 227-8301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | 209003505 | Illinois |
| Nursing Service Providers / Registered Nurse | 163W00000X | 041258611 | Illinois |
Profile Details
| NPI number | 1710975891 |
|---|---|
| LBN Legal business name | Capriola, Kathleen D |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Apr 22nd, 2011 - about 15 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 | 1710975891 | NPPES |
| Illinois | Other | P00605030 | RAILROAD MEDICARE |
| Illinois | Other | 1616108 | RAILROAD MEDICARE |
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