Rebal, Annastatia

Rebal, Annastatia is an individual health care provider with primary practice located at 415 10Th Ave P.O. 5637, Coralville IA 52241-2389. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Rebal, Annastatia can be contacted via phone (319) 338-6043.

Contact Information

Primary practice address
415 10Th Ave P.O. 5637 Coralville IA 52241-2389
Phone: (319) 338-6043
Fax: (319) 338-7739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 00552 Iowa
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 00833 Iowa

Profile Details

NPI number 1568592160
LBN Legal business name Rebal, Annastatia
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 17 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 1568592160 NPPES
Iowa MEDICAID 0493155

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