Anderson, Rebecca Jane

Anderson, Rebecca Jane is an individual health care provider with primary practice located at 425 E 1St St , Bloomsburg PA 17815-1480. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Anderson, Rebecca Jane can be contacted via phone (570) 387-2474.

Contact Information

Primary practice address
425 E 1St St Bloomsburg PA 17815-1480
Fax: (570) 387-2397
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X MW010619 Pennsylvania
Nursing Service Providers / Registered Nurse 163W00000X RN682740 Pennsylvania

Profile Details

NPI number 1548824105
LBN Legal business name Anderson, Rebecca Jane
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2019
Last updated Oct 23rd, 2023 - about 2 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 1548824105 NPPES
Pennsylvania Other MW010619 STATE LICENSE

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