Individual
JOHN ROSECRANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. ED., ATC
Contact information
Practice address
600 E WATER ST, PINCKNEYVILLE, IL 62274-1472
(618) 357-5013
Mailing address
305 PRINCE DR, PINCKNEYVILLE, IL 62274-1911
(505) 903-0170
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003175
IL
Other
Enumeration date
10/11/2017
Last updated
03/17/2018
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