Egbert, Rebecca

Egbert, Rebecca is an sole proprietor health care provider with primary practice located at 5155 E Farness Dr Suite 111C, Tucson AZ 85712-2158. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Egbert, Rebecca can be contacted via phone (520) 326-3434.

Contact Information

Primary practice address
5155 E Farness Dr Suite 111C Tucson AZ 85712-2158
Fax: (520) 326-1047
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 137607 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01060806A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 37607 Arizona

Profile Details

NPI number 1790841641
LBN Legal business name Egbert, Rebecca
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Aug 18th, 2021 - about 4 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 1790841641 NPPES
Arizona Other 165610R MEDICAID GROUP NUMBER
Arizona MEDICAID 200523110 MEDICAID GROUP NUMBER

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