Malcolm, Rebecca Ann
Malcolm, Rebecca Ann is an sole proprietor health care provider with primary practice located at 41150 Woodward Ave , Bloomfield Hills MI 48304-5020. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Malcolm, Rebecca Ann can be contacted via phone (248) 397-5792.Contact Information
Primary practice address
41150 Woodward Ave
Bloomfield Hills MI 48304-5020
Phone: (248) 397-5792
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X |
Profile Details
NPI number | 1497717490 |
---|---|
LBN Legal business name | Malcolm, Rebecca Ann |
Credentials | Physical Therapist Assistant (PTA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 5th, 2006 |
Last updated | Dec 2nd, 2015 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497717490 | NPPES |
Michigan | MEDICAID | 236612 |
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