Rosborough, Brian S
Rosborough, Brian S is an individual health care provider with primary practice located at 1614 E Norris Dr , Ottawa IL 61350-3681. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rosborough, Brian S can be contacted via phone (815) 433-1010.Contact Information
Primary practice address
1614 E Norris Dr
Ottawa IL 61350-3681
Phone: (815) 433-1010
Fax: (815) 433-0067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-074039 | Illinois |
Profile Details
| NPI number | 1881643948 |
|---|---|
| LBN Legal business name | Rosborough, Brian S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Sep 10th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881643948 | NPPES |
| Other | 015533 | HEALTH ALLIANCE | |
| MEDICAID | 036074039 | HEALTH ALLIANCE |
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