Bak, Rebecca Yael
Bak, Rebecca Yael is an individual health care provider with primary practice located at Route 301 North 21 B Street , Zuni NM 87327-0467. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bak, Rebecca Yael can be contacted via phone (505) 782-7454.Contact Information
Primary practice address
Route 301 North 21 B Street
Zuni NM 87327-0467
Phone: (505) 782-7454
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD2016-0537 | New Mexico |
Profile Details
| NPI number | 1649565086 |
|---|---|
| LBN Legal business name | Bak, Rebecca Yael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2011 |
| Last updated | Mar 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649565086 | NPPES |
| New Mexico | MEDICAID | 36125342 |
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