Gump, Rebecca Sue
Gump, Rebecca Sue is an individual health care provider with primary practice located at 2121 Lake Ave , Fort Wayne IN 46805-5100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gump, Rebecca Sue can be contacted via phone (260) 426-5431.Contact Information
Primary practice address
2121 Lake Ave
Fort Wayne IN 46805-5100
Phone: (260) 426-5431
Fax: (260) 460-1425
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71000263A | Indiana |
Profile Details
NPI number | 1780798694 |
---|---|
LBN Legal business name | Gump, Rebecca Sue |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 18th, 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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