Baltz, Rebekah Grace
Baltz, Rebekah Grace is an individual health care provider with primary practice located at 901 Se Plaza Ave Ste 5 , Bentonville AR 72712-5473. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Baltz, Rebekah Grace can be contacted via phone (479) 273-3376.Contact Information
Primary practice address
901 Se Plaza Ave Ste 5
Bentonville AR 72712-5473
Phone: (479) 273-3376
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | E-11420 | Arkansas |
Profile Details
| NPI number | 1992119770 |
|---|---|
| LBN Legal business name | Baltz, Rebekah Grace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2014 |
| Last updated | Nov 23rd, 2022 - about 3 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 | 1992119770 | NPPES |
| Arkansas | Other | E-11420 | MEDICAL LICENSE |
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