Callis, Rebecca Rose

Callis, Rebecca Rose is an individual health care provider with primary practice located at 6909A Burlington Pike , Florence KY 41042-1618. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Callis, Rebecca Rose can be contacted via phone (859) 282-1400.

Contact Information

Primary practice address
6909A Burlington Pike Florence KY 41042-1618
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 52216 Kentucky
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD153975 Oregon

Profile Details

NPI number 1659597755
LBN Legal business name Callis, Rebecca Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Sep 3rd, 2020 - about 5 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 1659597755 NPPES
Kentucky MEDICAID 7100258700

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