Anderson, Rebecca A

Anderson, Rebecca A is an individual health care provider with primary practice located at 4921 W 18Th St , Lawrence KS 66047-2090. 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. Anderson, Rebecca A can be contacted via phone (785) 830-0100.

Contact Information

Primary practice address
4921 W 18Th St Lawrence KS 66047-2090
Fax: (785) 830-0115
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-00320 Kansas

Profile Details

NPI number 1720054182
LBN Legal business name Anderson, Rebecca A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Sep 2nd, 2021 - about 4 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 1720054182 NPPES
Kansas MEDICAID 100293650H
Kansas Other 003719148

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