Fredric C. Kullberg, M.D.S.C.

LBN: Fredric C. Kullberg, M.D.S.C.
Fredric C. Kullberg, M.D.S.C. is an health care organization with primary practice located at 5668 E State St Suite B600, Rockford IL 61108-2490. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. Fredric C. Kullberg, M.D.S.C. can be contacted via phone (815) 397-7212, or through Kullberg, Fredric C. via phone (815) 397-7212.

Contact Information

Primary practice address
5668 E State St Suite B600 Rockford IL 61108-2490
Phone: (815) 397-7212
Fax: (815) 397-2539
Website:
Map and Directions
Authorized official contact:
Name: Kullberg, Fredric C. Doctor of Medicine (MD)
Phone: (815) 397-7212

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X Illinois

Profile Details

NPI number 1447364740
LBN Legal business name Fredric C. Kullberg, M.D.S.C.
DBA Doing business as
Authorized official Kullberg, Fredric C. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2006
Last updated Mar 11th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447364740 NPPES
Illinois Other 101 00574 BLUE CROSS BLUE SHIELD

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