Allen-Legault, Rebecca L

Allen-Legault, Rebecca L is an sole proprietor health care provider with primary practice located at 6910 N Main St Unit 52 , Granger IN 46530-8412. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Allen-Legault, Rebecca L can be contacted via phone (574) 231-6766.

Contact Information

Primary practice address
6910 N Main St Unit 52 Granger IN 46530-8412
Phone: (574) 231-6766
Fax: (833) 249-2411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71000950A Indiana

Profile Details

NPI number 1104892371
LBN Legal business name Allen-Legault, Rebecca L
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2006
Last updated Apr 10th, 2024 - about last year

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 1104892371 NPPES
Indiana MEDICAID 200279550

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