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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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 1083631691 NPPES
Michigan MEDICAID 04695776
Michigan MEDICAID 068375200
Michigan MEDICAID 0200362590
Michigan MEDICAID 009711190
Michigan MEDICAID 01054709

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