Moke, Rebecca Jo
Moke, Rebecca Jo is an individual health care provider with primary practice located at 756 E Lake Str , Lake Andes SD 57356-0279. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moke, Rebecca Jo can be contacted via phone (605) 487-7878.Contact Information
Primary practice address
756 E Lake Str
Lake Andes SD 57356-0279
Phone: (605) 487-7878
Fax: (605) 487-9566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CP000512 | South Dakota |
Profile Details
| NPI number | 1083809206 |
|---|---|
| LBN Legal business name | Moke, Rebecca Jo |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2007 |
| Last updated | Aug 9th, 2012 - about 13 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 | 1083809206 | NPPES |
| South Dakota | Other | 9251967 | DAKOTACARE |
| South Dakota | Other | 4992778 | DAKOTACARE |
| South Dakota | MEDICAID | 6829712 | DAKOTACARE |
| South Dakota | Other | 4992777 | DAKOTACARE |
| South Dakota | Other | CP000512 | DAKOTACARE |
| South Dakota | MEDICAID | 6829710 | DAKOTACARE |
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