Rebecca, Alanna M

Rebecca, Alanna M is an individual health care provider with primary practice located at 5779 E Mayo Blvd , Phoenix AZ 85054-4502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Rebecca, Alanna M can be contacted via phone (480) 301-8000.

Contact Information

Primary practice address
5779 E Mayo Blvd Phoenix AZ 85054-4502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 32883 Arizona

Profile Details

NPI number 1972588366
LBN Legal business name Rebecca, Alanna M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Sep 8th, 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 1972588366 NPPES
Arizona Other 86080015085259C440 TRIWEST
Arizona MEDICAID 869927 TRIWEST
Arizona Other P00289563 TRIWEST

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