Hysong, Rebecca Suzanne

Hysong, Rebecca Suzanne is an sole proprietor health care provider with primary practice located at 619 N Cove Blvd , Panama City FL 32401-3642. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Hysong, Rebecca Suzanne can be contacted via phone (850) 913-6960.

Contact Information

Primary practice address
619 N Cove Blvd Panama City FL 32401-3642
Phone: (850) 913-6960
Fax: (850) 913-6961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 18499 Mississippi
Allopathic & Osteopathic Physicians / Surgery 208600000X ME85213 Florida

Profile Details

NPI number 1144219569
LBN Legal business name Hysong, Rebecca Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated Aug 7th, 2019 - about 5 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 1144219569 NPPES
Florida MEDICAID 83220177
Florida MEDICAID 0697784

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