Zibert, Sara A

Zibert, Sara A is an individual health care provider with primary practice located at 1200 W State St Crusader Community Health, Rockford IL 61102-2112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Zibert, Sara A can be contacted via phone (815) 490-1600.

Contact Information

Primary practice address
1200 W State St Crusader Community Health Rockford IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33354020 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-094440 Illinois

Profile Details

NPI number 1639187669
LBN Legal business name Zibert, Sara A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Mar 19th, 2019 - about 6 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 1639187669 NPPES
Illinois MEDICAID 036094440
Illinois MEDICAID 1639187669

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