person
Mrs. Patricia Ann Carpenter
Optician in Rockford, Illinois
NPI 1295908341

Patricia Ann Carpenter is a Optician based in Rockford, IL and is specialized in Optician. Patricia Ann Carpenter practices in Rockford, IL. The NPI Number for Patricia Ann Carpenter is 1295908341 and holds a License No. 23903228 (Illinois).

The current practice location address for Patricia Ann Carpenter is 130 N 1St St, Rockford, IL and can be reached out via phone at 815-965-2989.

Location: 130 N 1St St, Rockford, IL, 61107-3900
person
Provider Profile Details
NPI Number
1295908341
Provider Name
Patricia Ann Carpenter
Credential
Provider Entity Type
Individual
Gender
Female
Address
130 N 1St St, Rockford, IL, 61107-3900
Phone Number
815-965-2989
Fax Number
Provider Enumeration Date
04/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1295290001 01 IL BILLING PROVIDER
institution
Provider Business Practice Location Address Details
Address
130 N 1St St
City
State
Zip
61107-3900
Phone Number
815-965-2989
Fax Number
person
Provider Business Mailing Address Details
Address
130 N 1St St
City
State
Zip
61107-3900
Phone Number
815-965-2989
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
23903228 (Illinois)
Definition
Definition to come...
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