Light-Pearlman, Rebecca Sarah

Light-Pearlman, Rebecca Sarah is an individual health care provider with primary practice located at 4444 Forest Park Ave Ste 2600, Saint Louis MO 63108-2212. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Light-Pearlman, Rebecca Sarah can be contacted via phone (314) 286-1700.

Contact Information

Primary practice address
4444 Forest Park Ave Ste 2600 Saint Louis MO 63108-2212
Phone: (314) 286-1700
Fax: (314) 286-1777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X 2002025109 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2002025109 Missouri

Profile Details

NPI number 1912047515
LBN Legal business name Light-Pearlman, Rebecca Sarah
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Apr 25th, 2024 - about last year

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 1912047515 NPPES
Missouri MEDICAID 420021299

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