Chevance, Gabrielle
Chevance, Gabrielle is an individual health care provider with primary practice located at 1110 S Mulford Rd , Rockford IL 61108-4213. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Chevance, Gabrielle can be contacted via phone (815) 398-3879.Contact Information
Primary practice address
1110 S Mulford Rd
Rockford IL 61108-4213
Phone: (815) 398-3879
Fax: (815) 398-1085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019030473 | Illinois |
Profile Details
| NPI number | 1073988796 |
|---|---|
| LBN Legal business name | Chevance, Gabrielle |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2015 |
| Last updated | Dec 7th, 2015 - about 11 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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