Dolleton, Dennis Navarro

Dolleton, Dennis Navarro is an sole proprietor health care provider with primary practice located at 616 Regents Ct , Rockford IL 61107-5064. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Dolleton, Dennis Navarro can be contacted via phone (815) 397-9290.

Contact Information

Primary practice address
616 Regents Ct Rockford IL 61107-5064
Phone: (815) 397-9290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036088531 Illinois

Profile Details

NPI number 1922088962
LBN Legal business name Dolleton, Dennis Navarro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Jun 6th, 2013 - about 13 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 1922088962 NPPES
Illinois MEDICAID 036088531

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