Manevitz, Rebecca Leah
Manevitz, Rebecca Leah is an individual health care provider with primary practice located at 1 Valero Way , Ardmore OK 73401-1615. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Manevitz, Rebecca Leah can be contacted via phone (580) 221-6690.Contact Information
Primary practice address
1 Valero Way
Ardmore OK 73401-1615
Phone: (580) 221-6690
Fax: (210) 479-2010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 13788 | Oklahoma |
Profile Details
| NPI number | 1639149644 |
|---|---|
| LBN Legal business name | Manevitz, Rebecca Leah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Oct 8th, 2021 - about 3 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 | 1639149644 | NPPES |
| Oklahoma | MEDICAID | 100002210B |
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