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Contact Information

NANCY J CARLSON, MD
2400 N ROCKTON AVE
ROCKFORD, IL61103-3655
 Phone: 815-971-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for NANCY J CARLSON · (Female)

NPI Number 1326158502
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 10/12/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-067902
  • IL License # 336.032045
  • MI License # 4301076946
  • NM License # CS00222637
  • NM License # MD2016-0001
  • IL Medicaid 036067902
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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