De Carolis, Rebecca
De Carolis, Rebecca is an individual health care provider with primary practice located at 1105 6Th St , Traverse City MI 49684-2345. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. De Carolis, Rebecca can be contacted via phone (231) 935-8686.Contact Information
Primary practice address
1105 6Th St
Traverse City MI 49684-2345
Phone: (231) 935-8686
Fax: (231) 935-8708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601002849 | Michigan |
Profile Details
| NPI number | 1750500344 |
|---|---|
| LBN Legal business name | De Carolis, Rebecca |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1750500344 | NPPES |
| Michigan | Other | RD002849 | BLUE CROSS |
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