Charles, Rebecca L
Charles, Rebecca L is an individual health care provider with primary practice located at 1313 Fish Hatchery Rd , Madison WI 53715-1911. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Charles, Rebecca L can be contacted via phone (608) 252-8000.Contact Information
Primary practice address
1313 Fish Hatchery Rd
Madison WI 53715-1911
Phone: (608) 252-8000
Fax: (608) 283-7091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 42603-020 | Wisconsin |
Profile Details
| NPI number | 1225072630 |
|---|---|
| LBN Legal business name | Charles, Rebecca L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Dec 22nd, 2017 - about 8 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 | 1225072630 | NPPES |
| Wisconsin | MEDICAID | 34259500 |
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