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Contact Information

REANNON DOTY
1401 E STATE ST
ROCKFORD, IL61104-2315
 Phone: 815-489-4900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for REANNON DOTY · (Female)

NPI Number 1043612815
Status Active
Credentials
Entity Individual
Enumeration date 09/23/2014
Last updated 01/18/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041-353320
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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