Perril, Rebecca
Perril, Rebecca is an sole proprietor health care provider with primary practice located at 4000 Route 66 Suite 125, Tinton Falls NJ 07753-7300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Perril, Rebecca can be contacted via phone (732) 922-2105.Contact Information
Primary practice address
4000 Route 66 Suite 125
Tinton Falls NJ 07753-7300
Phone: (732) 922-2105
Fax: (732) 922-2472
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 25MB08221500 | New Jersey |
Profile Details
NPI number | 1669664298 |
---|---|
LBN Legal business name | Perril, Rebecca |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 17th, 2007 |
Last updated | Aug 1st, 2012 - about 13 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 | 1669664298 | NPPES |
New Jersey | MEDICAID | 0249190 |
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