Motley, Rebecca Kathleene
Motley, Rebecca Kathleene is an sole proprietor health care provider with primary practice located at 20245 W 12 Mile Rd Ste 120 , Southfield MI 48076-6406. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Motley, Rebecca Kathleene can be contacted via phone (248) 552-1327.Contact Information
Primary practice address
20245 W 12 Mile Rd Ste 120
Southfield MI 48076-6406
Phone: (248) 552-1327
Fax: (248) 552-1183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 4301407599 | Michigan |
Profile Details
| NPI number | 1295782951 |
|---|---|
| LBN Legal business name | Motley, Rebecca Kathleene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1295782951 | NPPES |
| Michigan | Other | 4301407599 | STATE LICENSE |
| Michigan | Other | 1102-70-0582 | STATE LICENSE |
| Michigan | MEDICAID | 4715780-10 | STATE LICENSE |
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