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
Fax:
Website:

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497717490 NPPES
Michigan MEDICAID 236612

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