Sharkey, Carrie

Sharkey, Carrie is an individual health care provider with primary practice located at 1221 E State St , Rockford IL 61104-2231. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sharkey, Carrie can be contacted via phone (815) 972-1000.

Contact Information

Primary practice address
1221 E State St Rockford IL 61104-2231
Phone: (815) 972-1000
Fax: (815) 972-1086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036082688 Illinois

Profile Details

NPI number 1295725323
LBN Legal business name Sharkey, Carrie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Oct 30th, 2023 - about 3 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 1295725323 NPPES
Illinois Other 036082688 IL STATE LICENSE
Illinois MEDICAID 036082688 IL STATE LICENSE
Illinois Other 336044959 IL STATE LICENSE

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