Pedersen, Rebecca L

Pedersen, Rebecca L is an individual health care provider with primary practice located at 3001 Highland View Dr , Freeport IL 61032-6942. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pedersen, Rebecca L can be contacted via phone (815) 599-6000.

Contact Information

Primary practice address
3001 Highland View Dr Freeport IL 61032-6942
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036104690 Illinois

Profile Details

NPI number 1770556672
LBN Legal business name Pedersen, Rebecca L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Oct 25th, 2017 - about 7 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 1770556672 NPPES
Illinois MEDICAID 036104690

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