Podeszwa, Laurie Ann
Podeszwa, Laurie Ann is an sole proprietor health care provider with primary practice located at 1401 E State St , Rockford IL 61104-2315. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Podeszwa, Laurie Ann can be contacted via phone (815) 489-4891.Contact Information
Primary practice address
1401 E State St
Rockford IL 61104-2315
Phone: (815) 489-4891
Fax: (815) 967-5312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209004715 | Illinois |
Profile Details
| NPI number | 1407990708 |
|---|---|
| LBN Legal business name | Podeszwa, Laurie Ann |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2007 |
| Last updated | Mar 7th, 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.
Popular Providers
-
Sandine, Michelle Marie
535 Roxbury Rd , Rockford IL 61107-5076 -
Bryant, Suzanne E
2473 Mcfarland Rd , Rockford IL 61107 -
Cowan, Taren R
4215 Newburg Rd , Rockford IL 61108-6479 -
Ackerman, Eveleen M
1221 E State St University Family Health Center, Rockford IL 61104-2231 -
Frisella, Brittany N
4519 Highcrest Rd , Rockford IL 61107-2225 -
Nienaber, Sandra S
420 E State St Winnebago County Jail, Rockford IL 61104-1015 -
Burkart, Colleen
7219 Walton St , Rockford IL 61108-2607 -
Nicolosi, Sandra Kay
2300 N Rockton Ave , Rockford IL 61103-3619