Moulder, Rebekah
Moulder, Rebekah is an individual health care provider with primary practice located at 106 Highland Way Suite 103, Madison MS 39110-6929. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moulder, Rebekah can be contacted via phone (601) 200-4750.Contact Information
Primary practice address
106 Highland Way Suite 103
Madison MS 39110-6929
Phone: (601) 200-4750
Fax: (601) 200-4740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18671 | Mississippi |
Profile Details
| NPI number | 1932200151 |
|---|---|
| LBN Legal business name | Moulder, Rebekah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Mar 19th, 2020 - about 4 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 | 1932200151 | NPPES |
| Mississippi | MEDICAID | 07121372 |
Popular Providers
-
Story, Clifton
106 Highland Way Ste 103 , Madison MS 39110-6930 -
Easley, Steven W
217 Cambridge Dr , Madison MS 39110-8976 -
Black, Bruce T
401 Baptist Dr Suite 104, Madison MS 39110-2009 -
Rigsby, Reginald D
1082 Gluckstadt Rd , Madison MS 39110-7243 -
Saenz, Rebecca Buchanan
111A Depot Dr , Madison MS 39110-9395 -
Phillips, Deirdre M.
1888 Main St Ste C Box 277, Madison MS 39110-6337 -
Veregge, Paul A
138 Fenwick Cir , Madison MS 39110-7782 -
Terry, Joe W
935 Highway 51 , Madison MS 39110-8407