Shoberg, David Scott
Shoberg, David Scott is an sole proprietor health care provider with primary practice located at 7144 Kleckner Rd , Rockford IL 61107-6821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Shoberg, David Scott can be contacted via phone (815) 636-7111.Contact Information
Primary practice address
7144 Kleckner Rd
Rockford IL 61107-6821
Phone: (815) 636-7111
Fax: (815) 639-3526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 036083667 | Illinois |
Profile Details
| NPI number | 1982783361 |
|---|---|
| LBN Legal business name | Shoberg, David Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1982783361 | NPPES |
| Illinois | Other | 10123666 | BCBS |
| Illinois | MEDICAID | 036083667 | BCBS |
Popular Providers
-
Hernandez, Eduardo J
1430 Lindberg Dr , Slidell LA 70458-8056 -
Reda, Zacharia
17100 Euclid St. Picu, Fountain Valley CA 92708 -
Schroeder, Scott A
800 Washington St , Boston MA 02111-1552 -
Palmer, John M.
1901 Sw H K Dodgen Loop , Temple TX 76502-1814 -
Luciano, Kim
249 S Main St Ste 2 , Barnegat NJ 08005-2369 -
Fagenholz, Samuel Allen
300 State St Ste 301 , Erie PA 16507-1430 -
Atlas, Arthur B
55 Madison Ave Fl 2 , Morristown NJ 07960-7337 -
Allen, Elizabeth Defrancis
700 Childrens Dr , Columbus OH 43205-2664