Rabassa, Jill L

Rabassa, Jill L is an individual health care provider with primary practice located at 1918 Randolph Rd Suite 275, Charlotte NC 28207-1100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rabassa, Jill L can be contacted via phone (704) 384-1354.

Contact Information

Primary practice address
1918 Randolph Rd Suite 275 Charlotte NC 28207-1100
Phone: (704) 384-1354
Fax: (704) 384-1374
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 99-01270 North Carolina

Profile Details

NPI number 1609849694
LBN Legal business name Rabassa, Jill L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Oct 25th, 2020 - about 5 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 1609849694 NPPES
South Carolina MEDICAID N01276
South Carolina MEDICAID 89129W0

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