Johnson, Rebecca W
Johnson, Rebecca W is an individual health care provider with primary practice located at 5030 State Rd Suite 2-900, Drexel Hill PA 19026-4605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Rebecca W can be contacted via phone (610) 623-9080.Contact Information
Primary practice address
5030 State Rd Suite 2-900
Drexel Hill PA 19026-4605
Phone: (610) 623-9080
Fax: (610) 623-3861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD028382E | Pennsylvania |
Profile Details
| NPI number | 1134331630 |
|---|---|
| LBN Legal business name | Johnson, Rebecca W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Aug 16th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134331630 | NPPES |
| Pennsylvania | MEDICAID | 0009499130002 |
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