Fisher, Rebekah Autumn

Fisher, Rebekah Autumn is an individual health care provider with primary practice located at 115 E 1St St Suite 2W, Hinsdale IL 60521-4280. 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. Fisher, Rebekah Autumn can be contacted via phone (630) 734-0580.

Contact Information

Primary practice address
115 E 1St St Suite 2W Hinsdale IL 60521-4280
Phone: (630) 734-0580
Fax: (630) 734-0581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Illinois

Profile Details

NPI number 1063483022
LBN Legal business name Fisher, Rebekah Autumn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063483022 NPPES
Other 1067215 NCCPA CERT (NATIONAL)

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