Loomis, Rebecca J.
Loomis, Rebecca J. is an individual health care provider with primary practice located at 1515 River Pl Ste 100 , Braselton GA 30517-5610. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Loomis, Rebecca J. can be contacted via phone (770) 848-6195.Contact Information
Primary practice address
1515 River Pl Ste 100
Braselton GA 30517-5610
Phone: (770) 848-6195
Fax: (770) 848-6196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 046984 | Georgia |
Profile Details
| NPI number | 1194717421 |
|---|---|
| LBN Legal business name | Loomis, Rebecca J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Nov 9th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194717421 | NPPES |
| Georgia | MEDICAID | 00822665B |
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