Monahan, Rebecca L

Monahan, Rebecca L is an individual health care provider with primary practice located at 520 E Douglas Blvd , Tyler TX 75702-8307. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Monahan, Rebecca L can be contacted via phone (903) 593-1721.

Contact Information

Primary practice address
520 E Douglas Blvd Tyler TX 75702-8307
Phone: (903) 593-1721
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT81427 Texas

Profile Details

NPI number 1487973350
LBN Legal business name Monahan, Rebecca L
Credentials RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2010
Last updated May 12th, 2014 - 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 1487973350 NPPES
Texas MEDICAID 215678801

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