Dickerson, Rebecca Rae
Dickerson, Rebecca Rae is an sole proprietor health care provider with primary practice located at 12060 County Line Rd Suite D, Madison AL 35756-2003. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dickerson, Rebecca Rae can be contacted via phone (256) 232-0475.Contact Information
Primary practice address
12060 County Line Rd Suite D
Madison AL 35756-2003
Phone: (256) 232-0475
Fax: (256) 232-0429
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1-093181 | Alabama |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 1-093181 | Alabama |
Profile Details
NPI number | 1427290337 |
---|---|
LBN Legal business name | Dickerson, Rebecca Rae |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 24th, 2009 |
Last updated | Mar 12th, 2012 - about 12 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 | 1427290337 | NPPES |
Alabama | MEDICAID | 110708 |
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