Northup, Rex L.
Northup, Rex L. is an individual health care provider with primary practice located at 1675 Trinity Dr , Pensacola FL 32504-5708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Northup, Rex L. can be contacted via phone (850) 416-7000.Contact Information
Primary practice address
1675 Trinity Dr
Pensacola FL 32504-5708
Phone: (850) 416-7000
Fax: (850) 475-4619
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | ME41317 | Florida |
Profile Details
NPI number | 1083631691 |
---|---|
LBN Legal business name | Northup, Rex L. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2006 |
Last updated | Jul 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083631691 | NPPES |
Michigan | MEDICAID | 04695776 | |
Michigan | MEDICAID | 068375200 | |
Michigan | MEDICAID | 0200362590 | |
Michigan | MEDICAID | 009711190 | |
Michigan | MEDICAID | 01054709 |
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