Aldava, Rebecca R

Aldava, Rebecca R is an individual health care provider with primary practice located at 1002 Ne Highway 66 Ste 2, Sayre OK 73662-9305. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Aldava, Rebecca R can be contacted via phone (580) 928-2208.

Contact Information

Primary practice address
1002 Ne Highway 66 Ste 2 Sayre OK 73662-9305
Fax: (580) 928-2246
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1158 Oklahoma

Profile Details

NPI number 1174730881
LBN Legal business name Aldava, Rebecca R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jan 24th, 2014 - about 11 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 1174730881 NPPES
Oklahoma MEDICAID 200047950A

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