De La Rosa, Sara

De La Rosa, Sara is an individual health care provider with primary practice located at 960 E Mound Rd , Decatur IL 62526-2099. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. De La Rosa, Sara can be contacted via phone (217) 877-5050.

Contact Information

Primary practice address
960 E Mound Rd Decatur IL 62526-2099
Phone: (217) 877-5050
Fax: (217) 877-9711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101266362 Virginia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036154010 Illinois

Profile Details

NPI number 1992190821
LBN Legal business name De La Rosa, Sara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2015
Last updated Dec 9th, 2020 - about 6 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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