Green, Rebecca Antee

Green, Rebecca Antee is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Pediatrics, Section Of Critical Care, Shreveport LA 71103-4228. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Green, Rebecca Antee can be contacted via phone (318) 675-8601.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Pediatrics, Section Of Critical Care Shreveport LA 71103-4228
Fax: (318) 675-8872
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 024094 Louisiana

Profile Details

NPI number 1992725915
LBN Legal business name Green, Rebecca Antee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 31st, 2009 - about 15 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 1992725915 NPPES
Louisiana MEDICAID 1105937

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