Jeirles, Rebecca

Jeirles, Rebecca is an individual health care provider with primary practice located at 980 E Water St , Lock Haven PA 17745-1514. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jeirles, Rebecca can be contacted via phone (570) 748-3928.

Contact Information

Primary practice address
980 E Water St Lock Haven PA 17745-1514
Fax: (570) 748-3610
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1760849798
LBN Legal business name Jeirles, Rebecca
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2016
Last updated Jan 21st, 2016 - about 10 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 1760849798 NPPES
Pennsylvania MEDICAID 1022784270001

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