Eleck, Rebecca

Eleck, Rebecca is an individual health care provider with primary practice located at 635 Main St , Middletown CT 06457-2718. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Eleck, Rebecca can be contacted via phone (860) 347-6971.

Contact Information

Primary practice address
635 Main St Middletown CT 06457-2718
Phone: (860) 347-6971
Fax: (860) 343-7379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 049357 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 049357 Connecticut

Profile Details

NPI number 1083890065
LBN Legal business name Eleck, Rebecca
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2008
Last updated Feb 13th, 2012 - about 13 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 1083890065 NPPES
Connecticut MEDICAID 004236346
Connecticut Other 049357

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