Poole, Rebecca R
Poole, Rebecca R is an sole proprietor health care provider with primary practice located at 49 Rock Springs Rd , Conowingo MD 21918-1352. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Poole, Rebecca R can be contacted via phone (410) 378-9696.Contact Information
Primary practice address
49 Rock Springs Rd
Conowingo MD 21918-1352
Phone: (410) 378-9696
Fax: (410) 378-9922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP015915 | Pennsylvania |
Profile Details
| NPI number | 1417315136 |
|---|---|
| LBN Legal business name | Poole, Rebecca R |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2016 |
| Last updated | Dec 22nd, 2016 - about 9 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 | 1417315136 | NPPES |
| Pennsylvania | Other | SP015915 | NURSE PRACTITIONER LICENSE |
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